Russell, Kyle

Russell, Kyle is an individual health care provider with primary practice located at 921 Ne 13Th St Prosthetics Department, Oklahoma City OK 73104-5007. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as his primary health care specialty. Russell, Kyle can be contacted via phone (405) 456-5656.

Contact Information

Primary practice address
921 Ne 13Th St Prosthetics Department Oklahoma City OK 73104-5007
Phone: (405) 456-5656
Fax: (405) 456-1532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X

Profile Details

NPI number 1245771393
LBN Legal business name Russell, Kyle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2017
Last updated Mar 9th, 2017 - about 8 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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