Russell, Kendal Corrine

Russell, Kendal Corrine is an individual health care provider with primary practice located at 16480 Harbor Blvd Suite 103, Fountain Valley CA 92708-1361. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Russell, Kendal Corrine can be contacted via phone (714) 418-1575.

Contact Information

Primary practice address
16480 Harbor Blvd Suite 103 Fountain Valley CA 92708-1361
Phone: (714) 418-1575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1114176823
LBN Legal business name Russell, Kendal Corrine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2008
Last updated Sep 17th, 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.

Request for update

Popular Providers