Rust, Kermit Russell
Rust, Kermit Russell is an individual health care provider with primary practice located at 9300 E 29Th St N Ste 206 , Wichita KS 67226-2183. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Rust, Kermit Russell can be contacted via phone (316) 260-6762.Contact Information
Primary practice address
9300 E 29Th St N Ste 206
Wichita KS 67226-2183
Phone: (316) 260-6762
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125058810 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 28347 | Oklahoma |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD043000 | District of Columbia |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 04-38788 | Kansas |
Profile Details
| NPI number | 1194036574 |
|---|---|
| LBN Legal business name | Rust, Kermit Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2010 |
| Last updated | Jun 2nd, 2021 - 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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