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Shannon Russell, LBA
NPI 1437510005 · on the registry since 2016
Practice
- Address
- 1519 Baxter Ave
Louisville, KY 40205 - Phone
- (502) 409-7181
- Fax
- (888) 450-0935
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-10
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 Kentucky