Search › Mississippi › 172A00000X
Kevin Russell
NPI 1558759480 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1351 Gates Rd
Columbia, MS 39429 - Phone
- (601) 441-2515
- Fax
- (601) 736-3872
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Also registered as
- 172A00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-12-30
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 Mississippi