Individual
KATHLEEN FONTAINE MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
912 PARK AVE, IRONTON, OH 45638-1596
(740) 534-0021
(740) 534-0029
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
03941
KY
207Q00000X
Family Medicine Physician
Primary
34.012120
OH
207Q00000X
Family Medicine Physician
4794
OK
207Q00000X
Family Medicine Physician
TP840
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158557
—
OH
05
—
200250710A
—
OK
05
—
3810027558
—
WV
01
—
OKAAA1626
MEDICARE PTAN
OK
Enumeration date
06/13/2008
Last updated
12/01/2021
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