Grace, Aimee Russell

Grace, Aimee Russell is an sole proprietor health care provider with primary practice located at 2 Trillium Way Suite 306, Corbin KY 40701-8490. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Grace, Aimee Russell can be contacted via phone (606) 526-4070.

Contact Information

Primary practice address
2 Trillium Way Suite 306 Corbin KY 40701-8490
Phone: (606) 526-4070
Fax: (606) 526-4072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 03619 Kentucky

Profile Details

NPI number 1831414341
LBN Legal business name Grace, Aimee Russell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2010
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831414341 NPPES
Kentucky MEDICAID 7100265930
Kentucky Other P01329276
Kentucky Other 12628450

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