Provider Demographics
NPI:1720670292
Name:TURMON, KAMIAH T (RN)
Entity Type:Individual
Prefix:
First Name:KAMIAH
Middle Name:T
Last Name:TURMON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MARVIN AVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-6426
Mailing Address - Country:US
Mailing Address - Phone:518-577-9768
Mailing Address - Fax:518-273-0567
Practice Address - Street 1:24 MARVIN AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-6426
Practice Address - Country:US
Practice Address - Phone:518-577-9768
Practice Address - Fax:518-273-0567
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-06
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY719917163W00000X
224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No163W00000XNursing Service ProvidersRegistered Nurse