Individual
KENDRA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
265 N MICHIGAN AVE, COLDWATER, MI 49036-1528
(517) 278-5933
Mailing address
256 N MICHIGAN AVE., COLDWATER, MI 49036
(517) 278-5933
(517) 279-4946
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703100039
MI
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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