DR. KEVIN RUSSELL, O.D.
Optometrist
Active
Individual
NPI: 1194905257
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 779 (AZ) |
Frequently Asked Questions
NPI 1194905257 is the National Provider Identifier for DR. KEVIN RUSSELL, O.D., a Optometrist provider located in Mesa, AZ. This NPI was enumerated on November 6, 2007.
DR. KEVIN RUSSELL, O.D. practices at 2048 E. BASELINE RD., SUITE C6, Mesa, AZ 85204.
Quick Facts
- NPI
- 1194905257
- Type
- Individual
- Enumerated
- Nov 6, 2007
- Last Updated
- Apr 24, 2018
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