Provider Demographics
NPI:1659461671
Name:TURNER, BRIAN KEITH (HS)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:KEITH
Last Name:TURNER
Suffix:
Gender:M
Credentials:HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E MAIN ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1753
Mailing Address - Country:US
Mailing Address - Phone:757-628-4369
Mailing Address - Fax:757-628-4337
Practice Address - Street 1:300 E MAIN ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1753
Practice Address - Country:US
Practice Address - Phone:757-628-4369
Practice Address - Fax:757-628-4337
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other