Carol Lynn Russell CRNA

NPI 1023089042 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1023089042
Gender Female
Enumeration Date 01/28/2006
Last Updated 10/21/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
5520 COLLEGE BLVD
SUITE 200
OVERLAND PARK KS, 66211-1630, US
Phone (913) 491-3040
Fax
Business Location
3705 N 139TH ST
KANSAS CITY KS, 66109-4234, US
Phone (913) 721-3641
Fax (913) 721-3649
Toxanomy
Taxonomy Code 367500000X
License State Kansas
License Number 54607
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According to our database, Carol Lynn Russell CRNA NPI is 1023089042, taxonomy code is 367500000X and license number is 54607, license state is located at Kansas. Carol Lynn Russell CRNA physically located at 5520 College Blvd, Overland Park KS, 66211-1630. NPI Number Carol Lynn Russell CRNA has the Individual type.

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1023089042 NPI number is provided on an as is basis without warranty of any kind. 1023089042 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Lynn Russell CRNA are for informational purposes only.