Provider Demographics
NPI:1871065391
Name:MURDOCK, MEGAN KAYLEEN (DC)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:KAYLEEN
Last Name:MURDOCK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 PLYMOUTH CT
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9592
Mailing Address - Country:US
Mailing Address - Phone:814-952-2942
Mailing Address - Fax:
Practice Address - Street 1:109 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:CHICORA
Practice Address - State:PA
Practice Address - Zip Code:16025-2136
Practice Address - Country:US
Practice Address - Phone:724-607-1160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARTO0002682255A2300X
PADC011439111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer