Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 4366 | KY |
NPI | 1063430312 |
---|---|
Provider Name | Erwin G Turner |
First Address | Lexington, KY 40536-0284 |
Second Address | Lexington, KY 40536-0284 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 10/07/2013 |