King, Keri Russell

King, Keri Russell is an individual health care provider with primary practice located at 5957 Dallas Pkwy Suite100, Plano TX 75093-7822. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. King, Keri Russell can be contacted via phone (972) 596-2552.

Contact Information

Primary practice address
5957 Dallas Pkwy Suite100 Plano TX 75093-7822
Phone: (972) 596-2552
Fax: (972) 964-7209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA05090 Texas

Profile Details

NPI number 1861665275
LBN Legal business name King, Keri Russell
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2008
Last updated Apr 8th, 2008 - about 17 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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