Provider Demographics
NPI:1902198914
Name:MUR-CAL FAMILY HEALTHCARE LLC
Entity Type:Organization
Organization Name:MUR-CAL FAMILY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BYARS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:270-753-6838
Mailing Address - Street 1:1304 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-1698
Mailing Address - Country:US
Mailing Address - Phone:270-753-6838
Mailing Address - Fax:
Practice Address - Street 1:1304 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-1698
Practice Address - Country:US
Practice Address - Phone:270-753-6838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3147P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty