Russell, Kevin D

Russell, Kevin D is an sole proprietor health care provider with primary practice located at 1351 Gates Rd , Columbia MS 39429-8948. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Russell, Kevin D can be contacted via phone (601) 441-2515.

Contact Information

Primary practice address
1351 Gates Rd Columbia MS 39429-8948
Fax: (601) 736-3872
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Other Service Providers / Driver 172A00000X 8878 Mississippi

Profile Details

NPI number 1558759480
LBN Legal business name Russell, Kevin D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2014
Last updated Dec 30th, 2014 - about 12 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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