Individual
KENNETH B TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 968-7170
(479) 968-7607
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-6479
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117481001
—
AR
Enumeration date
10/03/2005
Last updated
02/23/2022
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