Russell, Kim L
Russell, Kim L is an individual health care provider with primary practice located at 2525 Cumberland Pkwy Se Department Of Dermatology, Atlanta GA 30339-3915. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Russell, Kim L can be contacted via phone (770) 431-4330.Contact Information
Primary practice address
2525 Cumberland Pkwy Se Department Of Dermatology
Atlanta GA 30339-3915
Phone: (770) 431-4330
Fax: (770) 431-4193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 002298 | Georgia |
Profile Details
| NPI number | 1528136900 |
|---|---|
| LBN Legal business name | Russell, Kim L |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jan 6th, 2022 - about 4 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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