Provider Demographics
NPI:1033422910
Name:TURNBULL, KARA MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:MARIE
Last Name:TURNBULL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:MARIE
Other - Last Name:WEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1200 J D ANDERSON DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3494
Mailing Address - Country:US
Mailing Address - Phone:304-598-1460
Mailing Address - Fax:
Practice Address - Street 1:50 MACEDONIA CHURCH RD
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-8414
Practice Address - Country:US
Practice Address - Phone:828-635-8430
Practice Address - Fax:828-874-0833
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV01491363AM0700X, 363AS0400X
PA056061363AM0700X
NC0010-09486363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV01491OtherSTATE LICENSE
NC0010-09486OtherSTATE LICENSE