Russell, Kurt

Russell, Kurt is an sole proprietor health care provider with primary practice located at 15808 Mill Creek Blvd Suite 110, Mill Creek WA 98012-1500. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Russell, Kurt can be contacted via phone (425) 745-5650.

Contact Information

Primary practice address
15808 Mill Creek Blvd Suite 110 Mill Creek WA 98012-1500
Phone: (425) 745-5650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 3800 Washington

Profile Details

NPI number 1710100532
LBN Legal business name Russell, Kurt
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Mar 6th, 2014 - about 10 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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