Kinsey, Russell John

Kinsey, Russell John is an sole proprietor health care provider with primary practice located at 517 N Main St , Anna IL 62906-1668. 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. Kinsey, Russell John can be contacted via phone (618) 833-4511.

Contact Information

Primary practice address
517 N Main St Anna IL 62906-1668
Phone: (618) 833-4511
Fax: (618) 833-4183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.004652 Illinois

Profile Details

NPI number 1942645411
LBN Legal business name Kinsey, Russell John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2013
Last updated May 9th, 2013 - about 11 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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