Individual
KENNETH DONALD MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 GENESEE ST, SUITE 600, UTICA, NY 13501-2199
(315) 793-8806
(315) 793-8046
Mailing address
185 GENESEE ST, SUITE 600, UTICA, NY 13501-2199
(315) 793-8806
(315) 793-8046
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
176495
NY
2085R0204X
Vascular & Interventional Radiology Physician
176495
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01487970
—
NY
05
—
01647929
—
NY
01
—
040922000045
FIDELIS
NY
01
—
10061856
CDPHP
NY
01
—
176495-0W
WC
NY
01
—
4125975
MVP
NY
01
—
4194036
GHI
NY
01
—
P00141515
RAIL ROAD MEDICARE
NY
01
—
P010176495
BCBS
NY
Enumeration date
05/04/2006
Last updated
05/01/2023
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