Provider Demographics
NPI:1093803959
Name:TURLEY, KEVIN B (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:B
Last Name:TURLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 N SCOTTSDALE RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-2119
Mailing Address - Country:US
Mailing Address - Phone:480-994-0072
Mailing Address - Fax:480-994-8527
Practice Address - Street 1:1920 N SCOTTSDALE RD
Practice Address - Street 2:MAYNARD WELLNESS CENTER
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-2119
Practice Address - Country:US
Practice Address - Phone:480-994-0072
Practice Address - Fax:480-994-8527
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7511111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z118575Medicare PIN
AZZ83872Medicare PIN