Basic Information
Provider Information
NPI: 1427376649
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: KENNETH
MiddleName: BRETT
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: TURNER
OtherFirstName: BRETT
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 5
Mailing Information
Address1: 1600 7TH AVE S # 620
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352331711
CountryCode: US
TelephoneNumber: 2056389583
FaxNumber:  
Practice Location
Address1: 1600 7TH AVE S # 620
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352331711
CountryCode: US
TelephoneNumber: 2056389583
FaxNumber: 2059755983
Other Information
ProviderEnumerationDate: 05/12/2010
LastUpdateDate: 11/05/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0214XMD.31292ALY Allopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology

No ID Information.


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