MEDICARE: KAITLYN TURNER

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
1	235Z00000X	Speech-Language Pathologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447867049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN TURNER

Provider Business Mailing Address
First Line	:	427 CHANDLER DR
Second Line	:
City	:	SAINT JOHNS
State	:	FL
Zip	:	32259-9328
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 NATURE WALK PKWY
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32092-5073
Country	:	US
Telephone Number	:	904-328-7489
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2020
Last Update Date	:	03/19/2026

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Directions to “ KAITLYN TURNER ” Practice Location

Language	Start Address	Practice Location

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