Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 01-05318 | KS |
NPI | 1003131855 |
---|---|
Provider Name | Dr. Daniel L. Murray JR. |
First Address | Great Bend, KS 67530-2516 |
Second Address | Great Bend, KS 67530-2516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2010 |
Last Update Date | 28/10/2010 |