Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 092565 | OH |
Y | 207Q00000X | Family Doctor | 42300 | KY |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 42300 | KY |
NPI | 1548403546 |
---|---|
Provider Name | Mr. Gary W. Turner |
First Address | Whitesburg, KY 41858-0040 |
Second Address | Buckhorn, KY 41721-8936 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2009 |
Last Update Date | 07/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100079460 | (05) | KY |