Healthcare Provider Details

I. General information

NPI: 1497759823
Provider Name (Legal Business Name): BOBBY R TURNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 04/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 CUMBERLAND FALLS HWY
CORBIN KY
40701-2722
US

IV. Provider business mailing address

1419 CUMBERLAND FALLS HWY
CORBIN KY
40701-2722
US

V. Phone/Fax

Practice location:
  • Phone: 606-528-4481
  • Fax: 606-528-2857
Mailing address:
  • Phone: 606-528-4481
  • Fax: 606-528-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20474
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: