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Mr. Kevin D Russell SR.
Driver in Columbia, Mississippi
NPI 1558759480

Kevin D Russell SR. is a Driver based in Columbia, MS. Kevin D Russell SR. practices in Columbia, MS. The NPI Number for Kevin D Russell SR. is 1558759480 and holds a License No. (Mississippi).

The current practice location address for Kevin D Russell SR. is 1351 Gates Rd, Columbia, MS and can be reached out via phone at 601-441-2515 and via fax at 601-736-3872.

Location: 1351 Gates Rd, Columbia, MS, 39429-8948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558759480
Provider Name
Kevin D Russell SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1351 Gates Rd, Columbia, MS, 39429-8948
Phone Number
601-441-2515
Fax Number
601-736-3872
Provider Enumeration Date
12/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1351 Gates Rd
City
Columbia
State
Mississippi
Zip
39429-8948
Phone Number
601-441-2515
Fax Number
601-736-3872
person
Provider Business Mailing Address Details
Address
1351 Gates Rd
City
Columbia
State
Mississippi
Zip
39429-8948
Phone Number
601-441-2515
Fax Number
601-736-3872
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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