Provider Demographics
NPI:1891042339
Name:MURTHY, KENTON KUMAR (DO, MS, MPH)
Entity Type:Individual
Prefix:DR
First Name:KENTON
Middle Name:KUMAR
Last Name:MURTHY
Suffix:
Gender:M
Credentials:DO, MS, MPH
Other - Prefix:
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Mailing Address - Street 1:1101 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4802
Mailing Address - Country:US
Mailing Address - Phone:817-321-4700
Mailing Address - Fax:817-850-2372
Practice Address - Street 1:1101 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4802
Practice Address - Country:US
Practice Address - Phone:817-321-4700
Practice Address - Fax:817-850-2372
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ5048207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine