Russ, Kyle

Russ, Kyle is an individual health care provider with primary practice located at 640 Ginger Trl , Lake Zurich IL 60047-2539. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is his primary health care specialty. Russ, Kyle can be contacted via phone (847) 971-9429.

Contact Information

Primary practice address
640 Ginger Trl Lake Zurich IL 60047-2539
Phone: (847) 971-9429
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1689439317
LBN Legal business name Russ, Kyle
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2024
Last updated Feb 21st, 2024 - about 10 months 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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