Russell, Kernest
Russell, Kernest is an sole proprietor health care provider with primary practice located at 120 E Market St Ste 1233 , Indianapolis IN 46204-3250. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Russell, Kernest can be contacted via phone (317) 455-5307.Contact Information
Primary practice address
120 E Market St Ste 1233
Indianapolis IN 46204-3250
Phone: (317) 455-5307
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1831748748 |
|---|---|
| LBN Legal business name | Russell, Kernest |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2019 |
| Last updated | Sep 4th, 2019 - about 6 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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