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Ms. Kimberly Sue Russell, NURSE/LPN
Licensed Practical Nurse in Centerville, Ohio
NPI 1780828343

Kimberly Sue Russell is a Licensed Practical Nurse based in Xenia, OH. Kimberly Sue Russell practices in Centerville, OH and has the professional credentials of NURSE/LPN. The NPI Number for Kimberly Sue Russell is 1780828343 and holds a License No. PN109782 (Ohio).

The current practice location address for Kimberly Sue Russell is 81 Rhoads Center Dr, Centerville, OH and can be reached out via phone at 937-435-1161.

Location: 81 Rhoads Center Dr, Centerville, OH, 45385-4801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780828343
Provider Name
Kimberly Sue Russell
Credential
NURSE/LPN
Provider Entity Type
Individual
Gender
Female
Address
81 Rhoads Center Dr, Centerville, OH, 45385-4801
Phone Number
937-435-1161
Fax Number
Provider Enumeration Date
04/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2586867 05 OH
institution
Provider Business Practice Location Address Details
Address
81 Rhoads Center Dr
City
Centerville
State
Ohio
Zip
45458-3859
Phone Number
937-435-1161
Fax Number
person
Provider Business Mailing Address Details
Address
81 Rhoads Center Dr
City
Centerville
State
Ohio
Zip
45458-3859
Phone Number
937-435-1161
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN109782 (Ohio)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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