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

Kyle Russell

Individual provider Pedorthist · NPI 1245771393

Kyle Russell is a Pedorthist in Oklahoma City, Oklahoma. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

921 NE 13th St Prosthetics Dept
Oklahoma City, OK 73104-5007
Phone: (405) 456-5656
Fax: (405) 456-1532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pedorthist (primary) Taxonomy 224L00000X

Record details

NPI number1245771393
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2017
Last updated in NPPESMarch 9, 2017
Mailing address921 Ne 13th St, Prosthetics Department, Oklahoma City, OK 73104-5007

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