NPI 1386575645

Tabitha Denise Russell, CSTCSFA

Practitioner Surgical Assistant Elizabethtown, KY

Practice location

Address: 913 N Dixie Ave, Elizabethtown, KY 42701-2503
Phone: (270) 706-1212
Mailing address: 122 Apache Trce, Falls of Rough, KY 40119-6613

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Kentucky →

Registry record

NPI: 1386575645
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2026
Record last updated: 26 May 2026

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.