Russell, Carol Lynn

Russell, Carol Lynn is an individual health care provider with primary practice located at 5520 College Blvd Suite 200, Overland Park KS 66211-1630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Russell, Carol Lynn can be contacted via phone (913) 491-3040.

Contact Information

Primary practice address
5520 College Blvd Suite 200 Overland Park KS 66211-1630
Phone: (913) 491-3040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54607 Kansas

Profile Details

NPI number 1023089042
LBN Legal business name Russell, Carol Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Oct 21st, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023089042 NPPES
Missouri MEDICAID 910116805

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