Russell, Kristy
Russell, Kristy is an individual health care provider with primary practice located at 2239 S Caraway Rd Suite M, Jonesboro AR 72401-6204. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Nursing Service Related Providers / Day Training/Habilitation Specialist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Russell, Kristy can be contacted via phone (870) 910-3757.Contact Information
Primary practice address
2239 S Caraway Rd Suite M
Jonesboro AR 72401-6204
Phone: (870) 910-3757
Fax: (870) 910-4999
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | A1309120 | Arkansas |
Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | P1610149 | Arkansas |
Profile Details
NPI number | 1023286481 |
---|---|
LBN Legal business name | Russell, Kristy |
Credentials | Licensed Acupuncturist (LAC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 19th, 2008 |
Last updated | Jun 17th, 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.
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