Russell John Kinsey, PA-C

NPI #1942645411 in Anna, Illinois

Provider Information

NPI Number
1942645411
Entity Type
Individual
Name
Russell John Kinsey, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
May 9, 2013
Last Updated
May 9, 2013

Practice Location

Address
517 N MAIN ST
City
Anna
ZIP Code
62906-1668
Phone
(618) 833-4511

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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