| Doctor Name: | DR. KEVIN BERTRAND MURCH |
| NPI Number: | 1154660843 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 35200 |
| Business Practice Address: | 6812 N Oak Trfy Suite 1 Gladstone, MO - 641182537 |
| Business Phone Number: | 8164360371 |
| Business Fax Number: | 8164360383 |
| Mailing Address: | 6812 N Oak Trfy, Suite 1 GLADSTONE |
| State: | MO |
| Postal Code: | 641182537 |
| Phone Number: | 8164360371 |
| Fax Number: | 8164360383 |
| NPI Enumeration Date: | 01/31/2013 |
| NPI Last Update Date: | 08/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | 35200 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |