MEDICARE: DR. KENNETH RAY 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	183500000X	Pharmacist	20130	NC

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	:	1740514835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH RAY TURNER

Provider Business Mailing Address
First Line	:	4059 NC STATE HIGHWAY 105
Second Line	:
City	:	BANNER ELK
State	:	NC
Zip	:	28604
Country	:	US
Telephone Number	:	865-388-8424
Fax Number	:

Provider Business Practice Location Address
First Line	:	4059 NC STATE HWY 105 HWY
Second Line	:
City	:	BANNER ELK
State	:	NC
Zip	:	28604-0000
Country	:	US
Telephone Number	:	865-388-8424
Fax Number	:

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

Provider Enumeration Date	:	09/23/2009
Last Update Date	:	09/23/2009

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