Heltsley, Russell King

Heltsley, Russell King is an sole proprietor health care provider with primary practice located at 2425 Scottsville Rd Suite #114, Bowling Green KY 42104-4457. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Heltsley, Russell King can be contacted via phone (270) 846-2500.

Contact Information

Primary practice address
2425 Scottsville Rd Suite #114 Bowling Green KY 42104-4457
Phone: (270) 846-2500
Fax: (270) 846-0608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1216 DT Kentucky

Profile Details

NPI number 1184709636
LBN Legal business name Heltsley, Russell King
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Apr 11th, 2008 - about 18 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 1184709636 NPPES
Kentucky MEDICAID 77012169

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