Provider Demographics
NPI:1750483822
Name:TURNBO, JAMES KYLE (MD PSC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:KYLE
Last Name:TURNBO
Suffix:
Gender:M
Credentials:MD PSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 NEW HOLT RD
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-7404
Mailing Address - Country:US
Mailing Address - Phone:270-441-4777
Mailing Address - Fax:270-441-4780
Practice Address - Street 1:2331 NEW HOLT RD
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-7404
Practice Address - Country:US
Practice Address - Phone:270-441-4777
Practice Address - Fax:270-441-4780
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY35898207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000077491OtherBCBS PIN #
KY65933590Medicaid
KY435934OtherHEALTHLINK ID NUMBER
KY64024714Medicaid
KY435934OtherHEALTHLINK ID NUMBER
KY1836401Medicare ID - Type Unspecified