Provider Demographics
NPI:1962949552
Name:TURNER, KIMBERLY (RRT)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:TURNER-NELSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:106 W SEEBOTH ST UNIT 612
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-4325
Mailing Address - Country:US
Mailing Address - Phone:815-222-3977
Mailing Address - Fax:
Practice Address - Street 1:106 W SEEBOTH ST UNIT 612
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-4325
Practice Address - Country:US
Practice Address - Phone:815-222-3977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital