Provider Demographics
NPI:1578716213
Name:MURPHY, SARAH L (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:L
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:L
Other - Last Name:RENTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 2748
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-2748
Mailing Address - Country:US
Mailing Address - Phone:606-432-3221
Mailing Address - Fax:606-437-0438
Practice Address - Street 1:321C E COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:KY
Practice Address - Zip Code:40380-2325
Practice Address - Country:US
Practice Address - Phone:606-663-9797
Practice Address - Fax:606-663-9470
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA1161363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100163600Medicaid
KYK060620Medicare PIN