Provider Demographics
NPI:1194346940
Name:MURPHY, LESLIE KAY (RN)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:KAY
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 HIGHWAY 55 SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-9286
Mailing Address - Country:US
Mailing Address - Phone:270-634-1582
Mailing Address - Fax:270-384-2686
Practice Address - Street 1:4601 HIGHWAY 55 SOUTH RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-9286
Practice Address - Country:US
Practice Address - Phone:270-634-1582
Practice Address - Fax:270-384-2686
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1074714163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse