MEDICARE: KIMBERLY ANN TURNER LSW

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	104100000X	Social Worker	S.0700865	OH

General Provider Information

NPI Number	:	1346434685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN TURNER LSW

Provider Business Mailing Address
First Line	:	5340 E MAIN ST
Second Line	:	SUITE 205
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2574
Country	:	US
Telephone Number	:	614-501-8220
Fax Number	:

Provider Business Practice Location Address
First Line	:	5340 E MAIN ST
Second Line	:	SUITE 205
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2574
Country	:	US
Telephone Number	:	614-501-8220
Fax Number	:

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

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	08/29/2007

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Directions to “ KIMBERLY ANN TURNER LSW” Practice Location

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