Provider Demographics
NPI:1497759823
Name:TURNER, BOBBY R (MD)
Entity Type:Individual
Prefix:DR
First Name:BOBBY
Middle Name:R
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1419 CUMBERLAND FALLS HWY
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-2722
Mailing Address - Country:US
Mailing Address - Phone:606-528-4481
Mailing Address - Fax:606-528-2857
Practice Address - Street 1:1419 CUMBERLAND FALLS HWY
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-2722
Practice Address - Country:US
Practice Address - Phone:606-528-4481
Practice Address - Fax:606-528-2857
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY20474207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65936817Medicaid
KY65936817Medicaid
KYC03546Medicare UPIN