Basic Information
Provider Information
NPI: 1528346145
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURRAY
FirstName: KRISTEN
MiddleName: NICOLE
NamePrefix: MS.
NameSuffix:  
Credential: D.P.M.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2116 CHAPEL HILL ROAD
Address2: THE EULER CLINIC/ALABAMA PODIATRY CARE
City: BIRMINGHAM
State: AL
PostalCode: 35216
CountryCode: US
TelephoneNumber: 2058228038
FaxNumber: 2058228040
Practice Location
Address1: 2116 CHAPEL HILL ROAD
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 35216
CountryCode: US
TelephoneNumber: 2058228038
FaxNumber: 2058228040
Other Information
ProviderEnumerationDate: 07/31/2011
LastUpdateDate: 01/13/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
213E00000X318ALY Podiatric Medicine & Surgery Service ProvidersPodiatrist 

No ID Information.


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