Russell, Kurt Michael

Russell, Kurt Michael is an individual health care provider with primary practice located at 98 Jeff Davis Ave Ste B , Long Beach MS 39560-6172. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Russell, Kurt Michael can be contacted via phone (228) 313-9208.

Contact Information

Primary practice address
98 Jeff Davis Ave Ste B Long Beach MS 39560-6172
Phone: (228) 313-9208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 3806 Mississippi

Profile Details

NPI number 1053158253
LBN Legal business name Russell, Kurt Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2024
Last updated Jul 15th, 2024 - about last year

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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