Provider Demographics
NPI:1639384175
Name:KIHM, JOHN TURNER
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:TURNER
Last Name:KIHM
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 1:3811 N ROXBORO ROAD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704
Mailing Address - Country:US
Mailing Address - Phone:919-471-3351
Mailing Address - Fax:919-471-3313
Practice Address - Street 1:3811 N ROXBORO ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704
Practice Address - Country:US
Practice Address - Phone:919-471-3351
Practice Address - Fax:919-471-3313
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC31315207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8948933Medicaid
NCNC31315OtherLICENSE NUMBER
NCC84914Medicare UPIN
NC8948933Medicaid