Provider Demographics
NPI:1245795400
Name:DR. PATRICIA A MURPHY PLLC
Entity Type:Organization
Organization Name:DR. PATRICIA A MURPHY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-517-6458
Mailing Address - Street 1:221 HIGHWAY 15 S
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:KY
Mailing Address - Zip Code:41339-9600
Mailing Address - Country:US
Mailing Address - Phone:606-272-6854
Mailing Address - Fax:
Practice Address - Street 1:221 HIGHWAY 15 S
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:KY
Practice Address - Zip Code:41339-9600
Practice Address - Country:US
Practice Address - Phone:606-272-6854
Practice Address - Fax:606-824-9078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty