Provider Demographics
NPI:1720045651
Name:TURNER, KIMBERLY KAREN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:KAREN
Last Name:TURNER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 SOUTHRIDGE
Mailing Address - Street 2:
Mailing Address - City:BAXTER SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66713-2952
Mailing Address - Country:US
Mailing Address - Phone:620-856-2257
Mailing Address - Fax:620-856-4490
Practice Address - Street 1:3222 S MAIN ST
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3824
Practice Address - Country:US
Practice Address - Phone:417-624-1110
Practice Address - Fax:417-624-5818
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO042688183500000X
KS1-11436183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist