Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant |
NPI | 1174708515 |
---|---|
Provider Name | Kimberly Burton Turner |
First Address | Statesville, NC 28677-6927 |
Second Address | Statesville, NC 28625-2798 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2008 |
Last Update Date | 04/01/2008 |