Provider Demographics
NPI:1902353840
Name:TURCK, KENNETH (LICSW)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:
Last Name:TURCK
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 HIGHWAY 7 E
Mailing Address - Street 2:P.O. BOX 355
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-1749
Mailing Address - Country:US
Mailing Address - Phone:320-587-7342
Mailing Address - Fax:320-587-7307
Practice Address - Street 1:255 HIGHWAY 7 E
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-1749
Practice Address - Country:US
Practice Address - Phone:320-587-7342
Practice Address - Fax:320-587-7307
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN215131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical