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NPI Code Detail

MEDICARE: DR. KATHERINE TACKETT TURPEN AU.D.

MEDICARE: DR. KATHERINE TACKETT TURPEN AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistA167TN

General Provider Information

NPI Number : 1114929700
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE TACKETT TURPEN AU.D.
Provider Business Mailing Address
First Line : 6242 POPLAR AVE
Second Line : HEARING AND BALANCE CENTERS OF WEST TN
City : MEMPHIS
State : TN
Zip : 38119-4730
Country : US
Telephone Number : 901-842-4327
Fax Number : 901-842-4330
Provider Business Practice Location Address
First Line : 6242 POPLAR AVE
Second Line : HEARING AND BALANCE CENTERS OF WEST TN
City : MEMPHIS
State : TN
Zip : 38119-4730
Country : US
Telephone Number : 901-842-4327
Fax Number : 901-842-4330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 07/08/2007

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