Individual
KELLY J MURRAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSNP
Contact information
Practice address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-1700
(765) 496-1227
Mailing address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-1700
(765) 496-1227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28105262
IN
363L00000X
Nurse Practitioner
Primary
71000181
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000278666
ANTHEM BLUE CROSS BLUE SH
—
01
—
92629
GEISINGER HEALTH PLAN
—
Enumeration date
09/29/2005
Last updated
09/11/2025
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