Individual
ANNA KATHLEEN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
621 N. SALSBURY CT., LAWRENCE, KS 66049
(785) 764-1548
Mailing address
621 N. SALSBURY CT., LAWRENCE, KS 66049
(785) 764-1548
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-84368-032
KS
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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