Healthcare Provider Details

I. General information

NPI: 1114124021
Provider Name (Legal Business Name): KLARK BENNETT TURPEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 N RACE ST
GLASGOW KY
42141-3454
US

IV. Provider business mailing address

216 W WALNUT ST STE A
DANVILLE KY
40422-1832
US

V. Phone/Fax

Practice location:
  • Phone: 270-651-3729
  • Fax: 270-651-1899
Mailing address:
  • Phone: 270-651-3729
  • Fax: 270-651-1899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberTRN11519
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number44304
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: