Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1700X | Ocularist |
NPI | 1497705420 |
---|---|
Provider Name | Mr. Harold W Turntine |
First Address | Shawnee, KS 66216-2560 |
Second Address | Shawnee, KS 66216-2560 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 08/07/2007 |