MEDICARE: KEVIN L TURPIN JR. ETC.

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	251C00000X	Developmentally Disabled Services Day Training Agency		OH
2	251S00000X	Community/Behavioral Health Agency		OH
3	343900000X	Non-emergency Medical Transport (VAN)		OH
4	385HR2065X	Child Physical Disabilities Respite Care		OH
5	171M00000X	Case Manager/Care Coordinator	01-8523	OH
6	374U00000X	Home Health Aide		OH
7	3747P1801X	Personal Care Attendant		OH

General Provider Information

NPI Number	:	1871175562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN L TURPIN JR. ETC.

Provider Business Mailing Address
First Line	:	252 BURGESS AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45415-2630
Country	:	US
Telephone Number	:	937-609-4274
Fax Number	:

Provider Business Practice Location Address
First Line	:	252 BURGESS AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45415-2630
Country	:	US
Telephone Number	:	937-609-4274
Fax Number	:

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

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	06/09/2026

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