Provider Demographics
NPI:1255154647
Name:MURRY FAMILY MEDICAL LLC
Entity type:Organization
Organization Name:MURRY FAMILY MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:LEVAN
Authorized Official - Last Name:MURRY
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:251-219-0965
Mailing Address - Street 1:30941 MILL LN STE G-318
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-5456
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:251-257-7057
Practice Address - Street 1:30941 MILL LN STE G-318
Practice Address - Street 2:
Practice Address - City:SPANISH FORT
Practice Address - State:AL
Practice Address - Zip Code:36527-5456
Practice Address - Country:US
Practice Address - Phone:251-219-0965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)