person
Susan Melissa Russell, LDO
Optician in Hanson, Kentucky
NPI 1568191997

Susan Melissa Russell is a Optician based in Hanson, KY and is specialized in Optician. Susan Melissa Russell practices in Hanson, KY and has the professional credentials of LDO. The NPI Number for Susan Melissa Russell is 1568191997 and holds a License No. 110443 (Kentucky).

The current practice location address for Susan Melissa Russell is 420 Factory Outlet Dr, Hanson, KY and can be reached out via phone at 270-821-7177 and via fax at 270-322-8192.

Location: 420 Factory Outlet Dr, Hanson, KY, 42413-9513
person
Provider Profile Details
NPI Number
1568191997
Provider Name
Susan Melissa Russell
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
420 Factory Outlet Dr, Hanson, KY, 42413-9513
Phone Number
270-821-7177
Fax Number
270-322-8192
Provider Enumeration Date
06/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
420 Factory Outlet Dr
City
State
Zip
42413-9513
Phone Number
270-821-7177
Fax Number
270-322-8192
person
Provider Business Mailing Address Details
Address
420 Factory Outlet Dr
City
State
Zip
42413-9513
Phone Number
270-821-7177
Fax Number
270-322-8192
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
110443 (Kentucky)
Definition
Definition to come...
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