Individual
ANDREA BETH MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9300 MEADOW VIEW DR, SHAWNEE, KS 66227-7288
(913) 299-3700
(913) 299-3050
Mailing address
5675 ROE BLVD, STE 100, ROELAND PARK, KS 66205-2538
(913) 432-2080
(913) 432-5183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-28362
KS
207Q00000X
Family Medicine Physician
120034
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080172482
MEDICARE RAILROAD PIN
KS
01
—
CD6440
MEDICARE RAILROAD GRP #
KS
Enumeration date
04/17/2006
Last updated
05/06/2021
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