MEDICARE: KELSEY LYNN TURNER

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	183500000X	Pharmacist	26692	MD
2	183500000X	Pharmacist	PH100003680	DC

General Provider Information

NPI Number	:	1649829029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY LYNN TURNER

Provider Business Mailing Address
First Line	:	6514 GEORGIA AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20012-2912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6514 GEORGIA AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20012-2912
Country	:	US
Telephone Number	:	202-829-5234
Fax Number	:

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

Provider Enumeration Date	:	09/08/2019
Last Update Date	:	09/08/2019

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