Individual
CYNTHIA J RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
920 DUPONT RD, LOUISVILLE, KY 40207-4692
(502) 895-2334
(502) 896-6987
Mailing address
2109 OAKFORD CT, LA GRANGE, KY 40031-7541
(502) 225-0709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3654P
KY
Other
Enumeration date
05/31/2006
Last updated
10/11/2007
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