Russell, Karan Dawn
Russell, Karan Dawn is an individual health care provider with primary practice located at 1532 Lone Oak Rd Ste 345 , Paducah KY 42003-7942. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Russell, Karan Dawn can be contacted via phone (270) 444-2250.Contact Information
Primary practice address
1532 Lone Oak Rd Ste 345
Paducah KY 42003-7942
Phone: (270) 444-2250
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 77671 | Kansas |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3011211 | Kentucky |
Profile Details
NPI number | 1932524261 |
---|---|
LBN Legal business name | Russell, Karan Dawn |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 24th, 2014 |
Last updated | Jan 30th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932524261 | NPPES |
Kentucky | MEDICAID | 7100484040 |
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