Provider Demographics
NPI:1881830123
Name:MURPHY, NICOLE SHAREE (DC)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:SHAREE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11604 METCALF AVE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2233
Mailing Address - Country:US
Mailing Address - Phone:913-696-1500
Mailing Address - Fax:913-696-1504
Practice Address - Street 1:11604 METCALF AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2233
Practice Address - Country:US
Practice Address - Phone:913-696-1500
Practice Address - Fax:913-696-1504
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0105233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor