MS. KIMBERLY ANNE RUSSELL PA-C NPI 1932209558

NPI Information

NPI: 1932209558
Provider Name: MS. KIMBERLY ANNE RUSSELL, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
VAMC 921 NE 13TH STREET
2A-137
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 456-3896
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MS. Kimberly Anne Russell, PA-C is a medical physician assistant in Oklahoma City, OK. MS. Kimberly Anne Russell, PA-C NPI is 1932209558. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

VAMC 921 NE 13TH STREET
2A-137
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 456-3896
Fax: (405) 456-1504

The enumeration date for this NPI number is 9/24/2006 and was last updated on 10/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA744	OKLAHOMA	No
2	363AM0700X	Physician Assistant	Medical	744	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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