Basic Information
Provider Information
NPI: 1629299482
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHEY
FirstName: KARI
MiddleName: NIX
NamePrefix: MRS.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4151 HILLDALE AVENUE
Address2:  
City: MEMPHIS
State: TN
PostalCode: 38117
CountryCode: US
TelephoneNumber: 7068929694
FaxNumber:  
Practice Location
Address1: 842 JEFFERSON AVENUE
Address2: #A645
City: MEMPHIS
State: TN
PostalCode: 38103
CountryCode: US
TelephoneNumber: 9015458699
FaxNumber: 9015458996
Other Information
ProviderEnumerationDate: 05/01/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XPA0000001387TNY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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