Provider Demographics
NPI:1700696218
Name:MURPHY, KEVIN DUANE (SUDP)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:DUANE
Last Name:MURPHY
Suffix:
Gender:M
Credentials:SUDP
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Mailing Address - Street 1:PO BOX 99818
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98496-0818
Mailing Address - Country:US
Mailing Address - Phone:253-473-7474
Mailing Address - Fax:253-474-9724
Practice Address - Street 1:8717 S HOSMER ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-1819
Practice Address - Country:US
Practice Address - Phone:253-473-7474
Practice Address - Fax:253-474-9724
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA60887649101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)