National Provider Identifier

Kevin Murtha, PA

Kevin Murtha, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, NY and a listed phone number of (716) 982-7683.

NPI 1356688030Boston, NYPhysician Assistant

Profile Overview

NPI
1356688030
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
January 15, 2013
Last Updated
February 21, 2024

Practice Location

  • 6225 Shero RD
  • Boston, NY 14025-9707

Phone: (716) 982-7683

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1356688030
Entity Type
Individual
Last Name
Murtha
First Name
Kevin
Name Prefix
Mr.
Credential
PA
Mailing Street Address
6225 Shero RD
Mailing City
Boston
Mailing State
NY
Mailing ZIP Code
14025-9707
Mailing Country
US
Mailing Phone
(716) 982-7683
Practice Street Address
6225 Shero RD
Practice City
Boston
Practice State
NY
Practice ZIP Code
14025-9707
Practice Country
US
Practice Phone
(716) 982-7683
Enumeration Date
January 15, 2013
Last Updated
February 21, 2024
Sex
Male
Sole Proprietor
No
Certification Date
February 21, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)