Provider Demographics
NPI:1235824285
Name:MCMURRAY, KHRISMA ANTOINETTE
Entity Type:Individual
Prefix:
First Name:KHRISMA
Middle Name:ANTOINETTE
Last Name:MCMURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18689 PLANER DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-6473
Mailing Address - Country:US
Mailing Address - Phone:317-480-3647
Mailing Address - Fax:
Practice Address - Street 1:18689 PLANER DR
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-6473
Practice Address - Country:US
Practice Address - Phone:317-480-3647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child