Healthcare Provider Details

I. General information

NPI: 1033422910
Provider Name (Legal Business Name): KARA MARIE TURNBULL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA MARIE WEAVER PA-C

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 09/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MACEDONIA CHURCH RD
TAYLORSVILLE NC
28681-8414
US

IV. Provider business mailing address

1200 J D ANDERSON DR
MORGANTOWN WV
26505-3494
US

V. Phone/Fax

Practice location:
  • Phone: 828-635-8430
  • Fax: 828-874-0833
Mailing address:
  • Phone: 304-598-1460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number01491
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number056061
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number01491
License Number StateWV
# 4
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-09486
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: