Cotton, Russell Hendren
Cotton, Russell Hendren is an individual health care provider with primary practice located at 1006 New Moody Ln , La Grange KY 40031-9122. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cotton, Russell Hendren can be contacted via phone (502) 593-0083.Contact Information
Primary practice address
1006 New Moody Ln
La Grange KY 40031-9122
Phone: (502) 593-0083
Fax: (502) 222-0029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA976 | Kentucky |
Profile Details
| NPI number | 1346495249 |
|---|---|
| LBN Legal business name | Cotton, Russell Hendren |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2008 |
| Last updated | Mar 1st, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346495249 | NPPES |
| Kentucky | MEDICAID | 7100069870 |
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