Kelly Murray CNM

NPI 1043247695 - Nurse Practitioner - 363LX0001X

NPI Details
NPI 1043247695
Gender Female
Enumeration Date 06/27/2006
Last Updated 12/16/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2246 ILLINOIS STATE ROUTE 157
SUITE 100
GLEN CARBON IL, 62034, US
Phone (618) 288-9251
Fax (618) 288-6900
Business Location
2246 ILLINOIS STATE ROUTE 157
SUITE 100
GLEN CARBON IL, 62034, US
Phone (618) 288-9251
Fax (618) 288-6900
Toxanomy
Taxonomy Code 363LX0001X
License State Illinois
License Number 209003242
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According to our database, Kelly Murray CNM NPI is 1043247695, taxonomy code is 363LX0001X and license number is 209003242, license state is located at Illinois. Kelly Murray CNM physically located at 2246 Illinois State Route 157, Glen Carbon IL, 62034. NPI Number Kelly Murray CNM has the Individual type.

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1043247695 NPI number is provided on an as is basis without warranty of any kind. 1043247695 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Murray CNM are for informational purposes only.