MEDICARE: KENDRA RAYNA TURPIN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	363A00000X	Physician Assistant	PA18685

General Provider Information

NPI Number	:	1073231593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRA RAYNA TURPIN PA-C

Provider Business Mailing Address
First Line	:	1704 MALL CIR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-1537
Country	:	US
Telephone Number	:	817-769-9166
Fax Number	:	817-984-7604

Provider Business Practice Location Address
First Line	:	1704 MALL CIR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-1537
Country	:	US
Telephone Number	:	817-769-9166
Fax Number	:	817-984-7604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2022
Last Update Date	:	05/28/2026

Similar Medicare Providers

1316748593 — JENIFER RENA DAVIDSON APRN, FNP-BC
Practice Location Address:

1704 MALL CIR
FORT WORTH, TX
76116-1537

Practice Phone: 817-769-9166
Practice Fax: 817-984-7604

1346178191 — CHRISTOPHER MICHAEL GONZALEZ
Practice Location Address:

1537 ROCK MERRITT AVE
FORT BRAGG, NC
28310-0001

Practice Phone: 910-907-7698
Practice Fax:

1679575187 — DR. BRADLEY DAVID MIDDAUGH O.D.
Practice Location Address:

1537 BRANTLEY RD , UNIT A2
FORT MYERS, FL
33907-3923

Practice Phone: 239-481-7799
Practice Fax:

1144215153 — MR. MARK A FISHER PA-C
Practice Location Address:

1721 MAGNAVOX WAY
FORT WAYNE, IN
46804-1537

Practice Phone: 260-748-3650
Practice Fax: 360-748-3651

1245293364 — LEN AARON BROWN O.D.
Practice Location Address:

1537 BRANTLEY RD
FORT MYERS, FL
33907-3923

Practice Phone: 239-481-7799
Practice Fax:

1982654828 — DR. ROBERT FRANKLIN JACKSON II D.O.
Practice Location Address:

1721 MAGNAVOX WAY
FORT WAYNE, IN
46804-1537

Practice Phone: 260-748-3650
Practice Fax: 260-748-3651

Directions to “ KENDRA RAYNA TURPIN PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.