Provider Demographics
NPI:1538561725
Name:MURPHY, KEVIN D (MS)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:D
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 PINE ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-4650
Mailing Address - Country:US
Mailing Address - Phone:610-241-5211
Mailing Address - Fax:
Practice Address - Street 1:1535 PINE STREET
Practice Address - Street 2:1535 PINE ST PHILADELPHIA PA
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-3693
Practice Address - Country:US
Practice Address - Phone:610-241-5211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-19
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH005333103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst