MR. Kevin D Russell SR.

NPI #1558759480 in Columbia, Mississippi

Provider Information

NPI Number: 1558759480
Entity Type: Individual
Name: MR. Kevin D Russell SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Dec 30, 2014
Last Updated: Dec 30, 2014

Practice Location

Address: 1351 GATES RD
City: Columbia
State: Mississippi
ZIP Code: 39429-8948
Phone: (601) 441-2515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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