Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn A Russell, DC

Individual provider Chiropractor · NPI 1174291975

Kathryn A Russell, DC is a Chiropractic in Niceville, Florida. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

350 John Sims Pkwy W Unit 401
Niceville, FL 32578-1963
Phone: (850) 678-8049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 13696 (FL)

Record details

NPI number1174291975
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedSeptember 6, 2021
Last updated in NPPESJune 18, 2023
Certification dateJune 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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