Turley, Kenneth W

Turley, Kenneth W is an individual health care provider with primary practice located at 2025 E 17Th St , Idaho Falls ID 83404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Turley, Kenneth W can be contacted via phone (208) 524-2025.

Contact Information

Primary practice address
2025 E 17Th St Idaho Falls ID 83404
Phone: (208) 524-2025
Fax: (208) 529-1924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M-4215 Idaho

Profile Details

NPI number 1063589034
LBN Legal business name Turley, Kenneth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jan 19th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063589034 NPPES
Idaho MEDICAID 002564800

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