MEDICARE: DR. KELLY J TURNER MD

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	207P00000X	Emergency Medicine Physician	L4152	TX

General Provider Information

NPI Number	:	1700808243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELLY J TURNER MD

Provider Business Mailing Address
First Line	:	10232 LILAC RD
Second Line	:
City	:	OAK HILLS
State	:	CA
Zip	:	92344-9434
Country	:	US
Telephone Number	:	817-875-9698
Fax Number	:

Provider Business Practice Location Address
First Line	:	4121 S GEORGIA ST
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79110-1117
Country	:	US
Telephone Number	:	817-875-9698
Fax Number	:

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/13/2024

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