Healthcare Provider Details

I. General information

NPI: 1659784296
Provider Name (Legal Business Name): CARL EDWARD TURNER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2014
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HOSPITAL DR
MCPHERSON KS
67460-2326
US

IV. Provider business mailing address

1000 HOSPITAL DR
MCPHERSON KS
67460-2326
US

V. Phone/Fax

Practice location:
  • Phone: 620-241-7400
  • Fax: 620-798-2613
Mailing address:
  • Phone: 620-241-7400
  • Fax: 620-798-2613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number05-38284
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: