Provider Demographics
NPI:1669828232
Name:MURPHY, KEVIN JR
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:MURPHY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2154 W GOLDEN HILLS RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-1849
Mailing Address - Country:US
Mailing Address - Phone:602-697-9546
Mailing Address - Fax:
Practice Address - Street 1:3216 N SURGING WATERS PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6627
Practice Address - Country:US
Practice Address - Phone:602-697-9546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-12
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR75599207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology