Search › Pennsylvania › 363AM0700X
Kyle Russell, PA
NPI 1164677969 · on the registry since 2008
Practice
- Address
- 6 West Airport Road
Lititz, PA 17543 - Phone
- (717) 627-2108
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania