Provider Demographics
NPI:1124097670
Name:MURRAY, KEVIN P (DO)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:P
Last Name:MURRAY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 JOHNS HOPKINS DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7222
Mailing Address - Country:US
Mailing Address - Phone:252-757-1000
Mailing Address - Fax:252-757-3045
Practice Address - Street 1:804 JOHNS HOPKINS DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7222
Practice Address - Country:US
Practice Address - Phone:252-757-1000
Practice Address - Fax:252-757-3045
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200401546207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00183039OtherRAILROAD MEDICARE
D8904OtherMEDCOST
561638624OtherCOMMERCIAL PAYERS
NC138MUOtherBCBS
NC89138MUMedicaid
NC2402345Medicare PIN
561638624OtherCOMMERCIAL PAYERS