Basic Information
Provider Information
NPI: 1871742395
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURRAY
FirstName: KATHRYN
MiddleName: RICHELL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3751 STOCKER ST
Address2:  
City: VIEW PARK
State: CA
PostalCode: 900085101
CountryCode: US
TelephoneNumber: 3232983737
FaxNumber: 3232964079
Practice Location
Address1: 921 E COMPTON BLVD FL 1
Address2:  
City: COMPTON
State: CA
PostalCode: 902213303
CountryCode: US
TelephoneNumber: 3106686839
FaxNumber: 3102230694
Other Information
ProviderEnumerationDate: 09/09/2008
LastUpdateDate: 12/02/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA103857CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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