Provider Demographics
NPI:1851398085
Name:MURRAY, KYLE R (MD)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:R
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WATER VILLAGE ROAD
Mailing Address - Street 2:
Mailing Address - City:OSSIPEE
Mailing Address - State:NH
Mailing Address - Zip Code:03864
Mailing Address - Country:US
Mailing Address - Phone:603-539-6996
Mailing Address - Fax:603-539-5284
Practice Address - Street 1:3 WATER VILLAGE ROAD
Practice Address - Street 2:
Practice Address - City:OSSIPEE
Practice Address - State:NH
Practice Address - Zip Code:03864
Practice Address - Country:US
Practice Address - Phone:603-539-6996
Practice Address - Fax:603-539-5284
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13351207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B58112Medicare UPIN