Bouldin, Russell Kevin

Bouldin, Russell Kevin is an individual health care provider with primary practice located at 9499 W Charleston Blvd Suite 220, Las Vegas NV 89117-7147. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bouldin, Russell Kevin can be contacted via phone (702) 933-9394.

Contact Information

Primary practice address
9499 W Charleston Blvd Suite 220 Las Vegas NV 89117-7147
Phone: (702) 933-9394
Fax: (702) 933-9395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0847 Nevada

Profile Details

NPI number 1770551426
LBN Legal business name Bouldin, Russell Kevin
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated May 21st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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