Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 04-15486 | KS |
Y | 207RP1001X | Pulmonary Disease | 04-15486 | KS |
NPI | 1063487882 |
---|---|
Provider Name | Dr. Everett Middleton Murphy III |
First Address | Olathe, KS 66061-7218 |
Second Address | Olathe, KS 66061-7218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 13/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100198840A | (05) | KS |
C52287 | (02) | KS |