Provider Demographics
NPI:1609910926
Name:MURRAY, KEVIN JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:JAMES
Last Name:MURRAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27111 167TH PL SE
Mailing Address - Street 2:SUITE #109
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-7337
Mailing Address - Country:US
Mailing Address - Phone:253-639-7639
Mailing Address - Fax:253-639-8665
Practice Address - Street 1:27111 167TH PL SE
Practice Address - Street 2:SUITE #109
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-7337
Practice Address - Country:US
Practice Address - Phone:253-639-7639
Practice Address - Fax:253-639-8665
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034402111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8853719Medicare ID - Type UnspecifiedPROVIDER NUMBER