Kay P Murphy, NP

Individual provider Active NPI Family Nurse Practitioner · Lyles, TN

NPI 1174526115 · NPPES record last updated Jan 10, 2012

Key facts

NPI
1174526115
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN82398 (TN)
Practice address
5194 Highway 100
Ste 107
Lyles, TN 37098-2822
Phone
(931) 670-1102
Fax
(615) 446-1357
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN82398TNMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN82398 TN Yes

Addresses

Primary practice location

5194 Highway 100
Ste 107
Lyles, TN 37098-2822

Mailing address

127 Crestview Park Dr
Dickson, TN 37055-2855
Phone (615) 446-5121

Other identifiers

IdentifierTypeStateIssuer
3158249OtherTNBLUE CROSS BLUE SHIELD TN
500014542OtherRAILROAD MEDICARE PIN
3901672MedicaidTN

Other providers in Lyles, TN

All providers in Lyles, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.