Provider Demographics
NPI:1235728114
Name:TURNER, JAMES MAURICE
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MAURICE
Last Name:TURNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8838 BLUEJACKET ST APT 405
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1946
Mailing Address - Country:US
Mailing Address - Phone:913-636-4882
Mailing Address - Fax:
Practice Address - Street 1:8838 BLUEJACKET ST APT 405
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1946
Practice Address - Country:US
Practice Address - Phone:913-636-4882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSK01507653172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty