Individual
KEVIN K MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505
(580) 355-8620
(580) 357-9984
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24283
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5592309
AETNA
OK
01
—
P00222709
RAILROAD MEDICARE
OK
Enumeration date
09/22/2005
Last updated
02/20/2008
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