Provider Demographics
NPI:1457453540
Name:JAMES KYLE TURNBO M.D. PSC
Entity Type:Organization
Organization Name:JAMES KYLE TURNBO M.D. PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:TURNBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-441-4777
Mailing Address - Street 1:2331 NEW HOLT RD
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-7404
Mailing Address - Country:US
Mailing Address - Phone:270-441-7777
Mailing Address - Fax:270-441-4780
Practice Address - Street 1:2331 NEW HOLT RD
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-7404
Practice Address - Country:US
Practice Address - Phone:270-441-4777
Practice Address - Fax:270-441-4780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY35898207Q00000X
207Q00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000077491OtherBCBS PIN #
KY64024714Medicaid
KY435934OtherHEALTHLINK PIN #
KY65933590Medicaid
KYH14705Medicare UPIN
KY000000077491OtherBCBS PIN #