Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 04-28360 | KS |
Y | 2080P0203X | Pediatric Critical Care Doctor | 04-28360 | KS |
NPI | 1093905564 |
---|---|
Provider Name | Mildred Laura Murphy |
First Address | Topeka, KS 66604 |
Second Address | Topeka, KS 66604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 31/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100398160C | (05) | KS |
100398160E | (05) | KS |
KA2129033 | MEDICARE PTAN (01) | KS |