NPI Code Details Logo

NPI 1952189144

NPI 1952189144 : KELLIE HASKINS TURNER RD : ROANOKE, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1952189144
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KELLIE HASKINS TURNER RD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/19/2023
-----------------------------------------------------
    Last Update Date     |    12/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3 RIVERSIDE CIR 
-----------------------------------------------------
    City                 |    ROANOKE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24016-4955
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    540-224-5170
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1127 CLEARFIELD RD SW 
-----------------------------------------------------
    City                 |    ROANOKE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24015-3807
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    540-354-1998
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    133V00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Dietitian
-----------------------------------------------------
    License Number       |    86155963
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.