Kimberly Russom, NP
NPI #1508506536 in Union City, Tennessee
Provider Information
- NPI Number
- 1508506536
- Entity Type
- Individual
- Name
- Kimberly Russom, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Mar 29, 2022
- Last Updated
- Mar 29, 2022
Practice Location
- Address
- 1705 W REELFOOT AVE
- City
- Union City
- State
- Tennessee
- ZIP Code
- 38261-5569
- Phone
- (731) 599-1102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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