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JOSEPH CLARK TURBYVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9800 SHELBYVILLE RD, SUITE 220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(502) 429-6157
Mailing address
9800 SHELBYVILLE RD, SUITE 220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(855) 656-7325

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
01053451A
IN
207K00000X
Allergy & Immunology Physician
Primary
45096
KY
208000000X
Pediatrics Physician
01053451A
IN
208000000X
Pediatrics Physician
45096
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201071930
IN
01
50039546
PASSPORT
05
7100198810
KY
Enumeration date
02/02/2006
Last updated
03/16/2021
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