NPI 1245771393

Kyle Russell

Practitioner Pedorthist Oklahoma City, OK

Practice location

Address: 921 NE 13th St Prosthetics Department, Oklahoma City, OK 73104-5007
Phone: (405) 456-5656
Fax: (405) 456-1532

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1245771393
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2017
Record last updated: 9 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.