Individual
PEYTON HEWITT TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3900 KRESGE WAY, SUITE 46, LOUISVILLE, KY 40207
(502) 899-3858
(502) 899-3878
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 489-6613
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA948
KY
363AS0400X
Surgical Physician Assistant
Primary
PA948
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000501586
ANTHEM - CTS
—
01
—
084618
SIHO - CTS
—
01
—
2846541000
PAD - CTS 560
—
01
—
50014938
PASSPORT - CTS 560
—
05
—
95006110
—
KY
01
—
P00408681
RRMCR - CTS
KY
Enumeration date
07/04/2006
Last updated
09/14/2018
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