Provider Demographics
NPI:1518391184
Name:MURPHY, KATE M (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KATE
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:KATE
Other - Middle Name:M
Other - Last Name:HENDERLONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:10900 WORLD TRADE BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-4202
Mailing Address - Country:US
Mailing Address - Phone:919-237-1337
Mailing Address - Fax:866-538-4716
Practice Address - Street 1:1801 OLIVE CHAPEL RD STE 107
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-8587
Practice Address - Country:US
Practice Address - Phone:919-267-5862
Practice Address - Fax:919-267-5866
Is Sole Proprietor?:No
Enumeration Date:2013-08-30
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00309500363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant