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Kenton Kumar Murthy

Family Medicine

Allopathic & Osteopathic Physicians

1101 S Main St, Fort Worth, TX 76104-4802

PECOS Enrollment

This provider is enrolled in PECOS as KENTON MURTHY.

Based on the most recent information from CMS, provider Kenton Kumar Murthy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1891042339
Provider Type
Individual
Full Name
Murthy, Kenton Kumar
Title
Dr.
Credential
D.O, M.S., M.P.H.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/14/2012
Last Updated
7/25/2023

Contact Information

Practice Location

1101 S Main St, Fort Worth, TX 76104-4802

(817) 321-4700

(817) 850-2372

Mailing Location

1101 S Main St, Fort Worth, TX 76104-4802

(817) 321-4700

(817) 850-2372

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Q5048 Texas

Kenton Kumar Murthy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

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