KISHA MAIRE MURRY
NPI 1366383192
Nurse Practitioner - Primary Care in Southgate, MI

Active since April 04, 2026
12866 FORT ST, SOUTHGATE, MI 48195(734) 720-7920 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Apr 4, 2026 (2 updates tracked since 2026).

About Kisha Maire Murry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KISHA MAIRE MURRY (NPI 1366383192) is an individual primary care provider in Southgate, Michigan, licensed in Michigan (4704360270) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1366383192
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKISHA MAIRE MURRY
Location Address12866 FORT STSouthgate, MI 48195-1060
Mailing Address12866 Fort StSouthgate, MI 48195-1060 · (734) 720-7920
Sole ProprietorYes
Enumeration DateApril 4, 2026
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
NPI 1366383192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MI · 4704360270
12866 FORT ST, Southgate, MI 48195

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
12866 FORT ST
SOUTHGATE, MI 48195
Clinic/Center
12866 FORT ST
SOUTHGATE, MI 48195
Home Health
12866 FORT ST
SOUTHGATE, MI 48195
Home Health
12866 FORT ST
SOUTHGATE, MI 48195
Pharmacy (Community/Retail Pharmacy)
12866 FORT ST
SOUTHGATE, MI 48195
Nurse Practitioner
12866 FORT ST
SOUTHGATE, MI 48195
Family Medicine
12866 FORT ST
SOUTHGATE, MI 48195
Family Medicine
12866 FORT ST
SOUTHGATE, MI 48195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kisha Murry's NPI number?

The NPI number for Kisha Murry is 1366383192. It was assigned to this individual provider in the NPPES registry on April 4, 2026.

Where is Kisha Murry located?

Kisha Murry practices at 12866 Fort St, Southgate, MI 48195. The listed phone number is (734) 720-7920.

What is Kisha Murry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kisha Murry was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.