Provider Demographics
NPI:1720082241
Name:MURPHY, PAUL W (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:W
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9415 E HARRY ST
Mailing Address - Street 2:BLDG 800
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-5089
Mailing Address - Country:US
Mailing Address - Phone:316-686-6303
Mailing Address - Fax:316-686-6764
Practice Address - Street 1:9415 EAST HARRY
Practice Address - Street 2:BUILDING 800
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-5072
Practice Address - Country:US
Practice Address - Phone:316-686-6303
Practice Address - Fax:316-686-6764
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2013-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-201712084P0800X
NE213172084P0800X
OK241882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100128480BMedicaid
KS100128480BMedicaid
KS051535Medicare ID - Type Unspecified