Provider Demographics
NPI:1225288160
Name:MURPHY, KAREN MARIE (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MARIE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MARIE
Other - Last Name:MOLKENTHIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICIAN ASSISTANT
Mailing Address - Street 1:99 OLD POST RD
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2643
Mailing Address - Country:US
Mailing Address - Phone:401-315-5360
Mailing Address - Fax:
Practice Address - Street 1:391 NORWICH WESTERLY RD
Practice Address - Street 2:
Practice Address - City:NORTH STONINGTON
Practice Address - State:CT
Practice Address - Zip Code:06359-9992
Practice Address - Country:US
Practice Address - Phone:860-535-4600
Practice Address - Fax:860-535-4605
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPA00477363A00000X
CT002383363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant