Kendra Russell

NPI #1376331942 in Muskogee, Oklahoma

Provider Information

NPI Number: 1376331942
Entity Type: Individual
Name: Kendra Russell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 25, 2025
Last Updated: Apr 25, 2025

Practice Location

Address: 436 COURT ST STE B
City: Muskogee
State: Oklahoma
ZIP Code: 74401-6303
Phone: (918) 310-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Counselor	101Y00000X	Primary

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