Individual
KENNETH DONALD MURPHY
Active
Individual
KENNETH DONALD MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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