Provider Demographics
NPI:1750965927
Name:TURPEN, KRISTEN S (BS, RT(R)(CT),AADP)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:S
Last Name:TURPEN
Suffix:
Gender:F
Credentials:BS, RT(R)(CT),AADP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 EMANUEL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29170-1298
Mailing Address - Country:US
Mailing Address - Phone:803-606-4379
Mailing Address - Fax:
Practice Address - Street 1:139 EMANUEL CREEK DR
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29170-1298
Practice Address - Country:US
Practice Address - Phone:803-606-4379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC01-12922085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology