Provider Demographics
NPI:1831400472
Name:TURNER, KEVIN R (LAC)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:R
Last Name:TURNER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6089 LAWYERS HILL RD
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5207
Mailing Address - Country:US
Mailing Address - Phone:443-604-2521
Mailing Address - Fax:410-461-2535
Practice Address - Street 1:12451 CLARKSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20777
Practice Address - Country:US
Practice Address - Phone:410-531-3245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01658171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist