Basic Information
Provider Information
NPI: 1538402839
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUNN
FirstName: KATHLEEN
MiddleName: TUREK
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: TUREK
OtherFirstName: KATHLEEN
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 300 SINGLETON RIDGE RD
Address2: ATTENTION PATIENT ACCOUNTING
City: CONWAY
State: SC
PostalCode: 295269142
CountryCode: US
TelephoneNumber: 8432346946
FaxNumber: 8432348958
Practice Location
Address1: 2376 CYPRESS CIR STE 200
Address2:  
City: CONWAY
State: SC
PostalCode: 295268994
CountryCode: US
TelephoneNumber: 8433477216
FaxNumber: 8433477218
Other Information
ProviderEnumerationDate: 04/04/2013
LastUpdateDate: 04/20/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/20/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XA132662CAN193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X83561SCY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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