Basic Information
| Provider Information | |||||||||
| NPI: | 1922677186 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MURPHY | ||||||||
| FirstName: | KASEY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5760 W PARK RD | ||||||||
| Address2: | |||||||||
| City: | HOLLYWOOD | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330213850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9548952896 | ||||||||
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| Practice Location | |||||||||
| Address1: | 520 NW 165TH ST STE 205 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331696343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7866234053 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2021 | ||||||||
| LastUpdateDate: | 06/22/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.