MEDICARE: JAMES KYLE TURNBO M.D. PSC

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	207Q00000X	Family Medicine Physician	35898	KY
2	363LP0200X	Pediatric Nurse Practitioner
3	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000077491	OTHER	KY	BCBS PIN #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	435934	OTHER	KY	HEALTHLINK PIN #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457453540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES KYLE TURNBO M.D. PSC

Provider Business Mailing Address
First Line	:	2331 NEW HOLT RD
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42001-7404
Country	:	US
Telephone Number	:	270-441-7777
Fax Number	:	270-441-4780

Provider Business Practice Location Address
First Line	:	2331 NEW HOLT RD
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42001-7404
Country	:	US
Telephone Number	:	270-441-4777
Fax Number	:	270-441-4780

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES KYLE TURNBO
Credential	:	M.D.
Telephone Number	:	270-441-4777

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	07/06/2023

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