Individual
KIM MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 488-2120
(910) 482-5219
Mailing address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 488-2120
(910) 482-5219
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
5687
NC
Other
Enumeration date
07/26/2019
Last updated
09/02/2025
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