Individual
KEVIN MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9091 ELLERBE RD STE 200, SHREVEPORT, LA 71106
(318) 681-1630
(318) 681-1641
Mailing address
9091 ELLERBE RD STE 200, SHREVEPORT, LA 71106-6737
(318) 681-1630
(318) 681-1641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20157
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080086309
RR MEDICARE
LA
05
—
1388653
—
LA
01
—
4648166
AETNA
LA
01
—
7283773005
CIGNA
LA
01
—
B007
TRICARE
LA
Enumeration date
06/22/2005
Last updated
03/10/2023
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