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Individual

MR. RUSSELL ENGLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
370 BEAVER MOUND CIRCLE, GLASGOW, KY 42141
(270) 404-4980
Mailing address
370 BEAVER MOUND CIRCLE, GLASGOW, KY 42141
(270) 404-4980

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008491
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3008491
LICENSE
KY
Enumeration date
02/25/2014
Last updated
02/25/2014
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