Provider Demographics
NPI:1558953786
Name:MURPHY, KEVIN DENNIS (DC)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:DENNIS
Last Name:MURPHY
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 WARTHEN ST
Mailing Address - Street 2:
Mailing Address - City:LA FAYETTE
Mailing Address - State:GA
Mailing Address - Zip Code:30728-2528
Mailing Address - Country:US
Mailing Address - Phone:423-883-2251
Mailing Address - Fax:
Practice Address - Street 1:9972 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:GA
Practice Address - Zip Code:30747-1318
Practice Address - Country:US
Practice Address - Phone:706-808-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010475111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor