Provider Demographics
NPI:1245464387
Name:TURNER, JOHN BRADLEY (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:BRADLEY
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3288 EAGLE VIEW LN
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-9020
Mailing Address - Country:US
Mailing Address - Phone:859-254-5665
Mailing Address - Fax:859-281-6825
Practice Address - Street 1:3288 EAGLE VIEW LN
Practice Address - Street 2:SUITE 300
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-9020
Practice Address - Country:US
Practice Address - Phone:859-254-5665
Practice Address - Fax:859-281-6825
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR2110208200000X
390200000X
KY48376208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK186570Medicare PIN