Individual
DR. KURT RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15808 MILL CREEK BLVD, SUITE 110, MILL CREEK, WA 98012-1500
(425) 745-5650
Mailing address
13024 NE 121ST LN, APT. H-406, KIRKLAND, WA 98034-8045
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3800
WA
Other
Enumeration date
04/10/2007
Last updated
03/06/2014
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