Mr. Keon J Russell, MSED
Mr. Keon J Russell, MSED is a Specialist in Brooklyn, New York. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1089 E 72nd St 4Brooklyn, NY 11234-5326
Phone: (917) 642-0472
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1538420633 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSED |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2012 |
| Last updated in NPPES | June 5, 2012 |
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