Provider Demographics
NPI:1447343546
Name:MURPHY, DANIEL J (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9119 W 74TH ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2215
Mailing Address - Country:US
Mailing Address - Phone:913-789-1980
Mailing Address - Fax:
Practice Address - Street 1:9119 W 74TH ST
Practice Address - Street 2:SUITE 150
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-2215
Practice Address - Country:US
Practice Address - Phone:913-789-1980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-27726207Q00000X, 207QA0505X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS24942034OtherBLUE CROSS
KS355630OtherFIRSTGUARD
G68212Medicare UPIN
KSS148320Medicare ID - Type Unspecified