Mrs Kim A Russell, LPN is a
Licensed Practical Nurse based in Westbrookeville, New York. Mrs Kim A Russell is licensed to practice in New York (license number 268453) and her current practice location is
99 David Rhodes Road, Westbrookeville, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 754-8173.
NPI number for Mrs Kim A Russell is 1265664981 and her current mailing address is 99 David Rhodes Road, Po Box 605, Westbrookeville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265664981.
Provider's Profile
| Full Name | Mrs Kim A Russell |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 99 David Rhodes Road, Westbrookeville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265664981
- Provider Enumeration Date: 08/13/2009
- Last Update Date: 08/13/2009
Medical Identifiers
Medical identifiers for Mrs Kim A Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265664981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 268453 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kim A Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kim A Russell, LPN
99 David Rhodes Road, Po Box 605,
Westbrookeville, NY 12785-0605
Ph: (845) 754-8173 | Mrs Kim A Russell, LPN
99 David Rhodes Road,
Westbrookeville, NY 12785-0605
Ph: (845) 754-8173 |
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