Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 000502 | MO |
Y | 222Z00000X | Podiatrist | 000502 | MO |
N | 213ES0131X | Foot Surgery | 000502 | MO |
NPI | 1396746327 |
---|---|
Provider Name | Dr. Keith A Turlington |
First Address | St Louis, MO 63126 |
Second Address | St Louis, MO 63126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2005 |
Last Update Date | 05/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T42888 | (02) |