Provider Demographics
NPI:1376199935
Name:MURRY, KALEY MARIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:KALEY
Middle Name:MARIE
Last Name:MURRY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KALEY
Other - Middle Name:MARIE
Other - Last Name:PENNINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3275 W ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1701
Mailing Address - Country:US
Mailing Address - Phone:713-942-8205
Mailing Address - Fax:
Practice Address - Street 1:3275 W ALABAMA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1701
Practice Address - Country:US
Practice Address - Phone:713-942-8205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81049231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist