Healthcare Provider Details

I. General information

NPI: 1720435118
Provider Name (Legal Business Name): ELIZABETH ASHLEY TURLEY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2235 MAYFAIR DR
OWENSBORO KY
42301-4519
US

IV. Provider business mailing address

PO BOX 432
PIKEVILLE KY
41502-0432
US

V. Phone/Fax

Practice location:
  • Phone: 270-688-1500
  • Fax: 270-688-1501
Mailing address:
  • Phone: 606-218-3500
  • Fax: 606-218-4562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04375
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: