Individual
KEVIN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 HOSPITAL RD, SYLVA, NC 28779-2722
(828) 586-7235
Mailing address
118 FRANCIS ASBURY RD, WAYNESVILLE, NC 28785-8922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8151
NC
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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