Provider Demographics
NPI:1376220699
Name:MURFITT, KELSEY RYAN
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:RYAN
Last Name:MURFITT
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 1:9711 NE 204TH PL
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-2342
Mailing Address - Country:US
Mailing Address - Phone:206-200-9378
Mailing Address - Fax:
Practice Address - Street 1:1509 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3540
Practice Address - Country:US
Practice Address - Phone:425-789-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health