Provider Demographics
NPI:1497127559
Name:MURPHY, DENICE M (LAC, DIPLAC)
Entity Type:Individual
Prefix:
First Name:DENICE
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LAC, DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 849
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96745-0849
Mailing Address - Country:US
Mailing Address - Phone:808-324-6644
Mailing Address - Fax:808-325-5075
Practice Address - Street 1:76-5914 MAMALAHOA
Practice Address - Street 2:
Practice Address - City:HOLUALOA
Practice Address - State:HI
Practice Address - Zip Code:96725
Practice Address - Country:US
Practice Address - Phone:808-324-6644
Practice Address - Fax:808-325-5075
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-403171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist