Kila Russell
Kila Russell is a Prosthetist in Mc Donald, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
3818 S Lee HwyMc Donald, TN 37353-5876
Phone: (423) 320-7794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X (TN) |
|---|---|
| Prosthetist | Taxonomy 224P00000X |
Record details
| NPI number | 1821743493 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 13, 2022 |
| Last updated in NPPES | February 13, 2022 |
| Certification date | February 13, 2022 |
| Mailing address | 3818 S Lee Hwy, Mc Donald, TN 37353-5876 |