Provider Demographics
NPI:1932100989
Name:MURPHY, KEVIN P (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:P
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1201 NOTT ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2589
Mailing Address - Country:US
Mailing Address - Phone:518-374-3123
Mailing Address - Fax:518-374-9711
Practice Address - Street 1:1201 NOTT ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2589
Practice Address - Country:US
Practice Address - Phone:518-374-3123
Practice Address - Fax:518-374-9711
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2017-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY156196-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A23OtherEMPIRE BLUE CROSS
NY01031552Medicaid
33570TOtherFIDELIS MEDICARE
040426006661OtherFIDELIS
05130OtherMVP
156196-1OtherTRICARE NORTH REGION
9707079OtherGHI
10001439OtherCDPHP
KM000A2320OtherEMPIRE BLUE CROSS
110160500OtherUS DEPT OF LABOR
KM000A2310OtherEMPIRE BLUE CROSS
D75394OtherAMERICAN PROGRESSIVE TODA
000000091376OtherGHI HMO
000405059002OtherBLUE SHIELD NENY
000405059003OtherBLUE SHIELD NENY
CAN1561968OtherWORKERS COMP
CAN1561968OtherNO FAULT
156196-1OtherTRICARE NORTH REGION
9707079OtherGHI
10001439OtherCDPHP