MEDICARE: DR. KEVIN J TURNEAU MD

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	2085R0202X	Diagnostic Radiology Physician	D0082120	MD

General Provider Information

NPI Number	:	1427032572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN J TURNEAU MD

Provider Business Mailing Address
First Line	:	1325 S CLIFF AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-1007
Country	:	US
Telephone Number	:	605-322-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 S CLIFF AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-1007
Country	:	US
Telephone Number	:	605-322-8000
Fax Number	:

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

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	04/05/2017

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