Mr. Kevin D Russell Sr.
Mr. Kevin D Russell Sr. is a Driver in Columbia, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
1351 Gates RdColumbia, MS 39429-8948
Phone: (601) 441-2515
Fax: (601) 736-3872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|---|
| Driver | Taxonomy 172A00000X · Licence 8878 (MS) |
Record details
| NPI number | 1558759480 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 30, 2014 |
| Last updated in NPPES | December 30, 2014 |
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-
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