Kyle A Russell, PA
NPI #1164677969 in Lititz, Pennsylvania
Provider Information
- NPI Number
- 1164677969
- Entity Type
- Individual
- Name
- Kyle A Russell, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Nov 20, 2008
- Last Updated
- Nov 29, 2012
Practice Location
- Address
- 6 WEST AIRPORT ROAD
- City
- Lititz
- State
- Pennsylvania
- ZIP Code
- 17543
- Phone
- (717) 627-2108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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