Provider Demographics
NPI:1588420558
Name:MURPHY, RICHARD ROBERT
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:ROBERT
Last Name:MURPHY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 N HIGGINS CT
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-9459
Mailing Address - Country:US
Mailing Address - Phone:774-269-1673
Mailing Address - Fax:
Practice Address - Street 1:413 N HIGGINS CT
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-9459
Practice Address - Country:US
Practice Address - Phone:774-269-1673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker