Provider Demographics
NPI:1336517887
Name:TURNER, DAUICE WES (PA-C)
Entity type:Individual
Prefix:MR
First Name:DAUICE
Middle Name:WES
Last Name:TURNER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR VALE
Mailing Address - State:KS
Mailing Address - Zip Code:67024
Mailing Address - Country:US
Mailing Address - Phone:620-758-2221
Mailing Address - Fax:
Practice Address - Street 1:508 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CEDAR VALE
Practice Address - State:KS
Practice Address - Zip Code:67024
Practice Address - Country:US
Practice Address - Phone:620-758-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-04367363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant