Provider Demographics
NPI:1679567044
Name:MURRAY, KERRI (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:KERRI
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 FREMONT ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3389
Mailing Address - Country:US
Mailing Address - Phone:269-966-8350
Mailing Address - Fax:
Practice Address - Street 1:363 FREMONT ST
Practice Address - Street 2:SUITE 300
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3389
Practice Address - Country:US
Practice Address - Phone:269-966-8350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIKM0838552086S0127X, 208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI383689447055OtherCOMMUNITY CHOICE MICHIGAN
MI7521573OtherAETNA PIN
MI0201310722OtherBCBS INDIVIDUAL PIN
MI020A310890OtherBCBS GROUP
MI4624952Medicaid
MI1730186OtherPHYSICIAN HEALTH PLAN PIN
MI0131072OtherBLUECARE NETWORK
MII13418Medicare UPIN
MI4624952Medicaid
MI1730186OtherPHYSICIAN HEALTH PLAN PIN
MI383689447055OtherCOMMUNITY CHOICE MICHIGAN
MI7521573OtherAETNA PIN