Provider Demographics
NPI:1144406646
Name:TURNER, KIMBERLY KAYE (RN)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:KAYE
Last Name:TURNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5614 BAKER 47
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875-9607
Mailing Address - Country:US
Mailing Address - Phone:419-961-3104
Mailing Address - Fax:
Practice Address - Street 1:5614 BAKER 47
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875-9607
Practice Address - Country:US
Practice Address - Phone:419-961-3104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH361388163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse