Healthcare Provider Details

I. General information

NPI: 1457453540
Provider Name (Legal Business Name): JAMES KYLE TURNBO M.D. PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 NEW HOLT RD
PADUCAH KY
42001-7404
US

IV. Provider business mailing address

2331 NEW HOLT RD
PADUCAH KY
42001-7404
US

V. Phone/Fax

Practice location:
  • Phone: 270-441-4777
  • Fax: 270-441-4780
Mailing address:
  • Phone: 270-441-7777
  • Fax: 270-441-4780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35898
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAMES KYLE TURNBO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 270-441-4777