Russell, Kimberly Denise

Russell, Kimberly Denise is an sole proprietor health care provider with primary practice located at 200 W Santa Ana Blvd 100, Santa Ana CA 92701-4134. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Russell, Kimberly Denise can be contacted via phone (714) 347-0312.

Contact Information

Primary practice address
200 W Santa Ana Blvd 100 Santa Ana CA 92701-4134
Phone: (714) 347-0312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 1649 California

Profile Details

NPI number 1124078183
LBN Legal business name Russell, Kimberly Denise
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Jun 5th, 2018 - 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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