MR. KEVIN RUSSELL SR.
Driver
Active
Individual
NPI: 1558759480
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Driver | 172A00000X | No | 8878 (MS) |
Frequently Asked Questions
NPI 1558759480 is the National Provider Identifier for MR. KEVIN RUSSELL SR., a Driver provider located in Columbia, MS. This NPI was enumerated on December 30, 2014.
MR. KEVIN RUSSELL SR. practices at 1351 GATES RD, Columbia, MS 39429.
Quick Facts
- NPI
- 1558759480
- Type
- Individual
- Enumerated
- Dec 30, 2014
- Last Updated
- Dec 30, 2014
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