MS. KIMBERLY SUE RUSSELL NURSE/LPN
NPI 1780828343
Licensed Practical Nurse in Centerville, OH

Active since April 27, 2009
81 RHOADS CENTER DR, CENTERVILLE, OH 45458(937) 435-1161 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kimberly Sue Russell Nurse/lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY SUE RUSSELL NURSE/LPN (NPI 1780828343) is an individual licensed practical nurse in Centerville, Ohio, licensed in Ohio (PN109782) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1780828343
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. KIMBERLY SUE RUSSELLCredential: NURSE/LPN
Location Address81 RHOADS CENTER DRCenterville, OH 45458-3859
Mailing Address1453 Commonwealth DrXenia, OH 45385-4801 · (937) 239-0663
Sole ProprietorYes
Enumeration DateApril 27, 2009
NPI 1780828343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses Licensed in OH · PN109782 Licensed in OH · 109782
Definition
A licensed practical nurse 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.
81 RHOADS CENTER DR, Centerville, OH 45458

Other Names 1

Former Name (1)Ms. Kimberly Sue Russell Nurse/lpn

Other Identifiers 1

Medicaid2586867OH

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
81 RHOADS CENTER DR
CENTERVILLE, OH 45458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Russell's NPI number?

The NPI number for Kimberly Russell is 1780828343. It was assigned to this individual provider in the NPPES registry on April 27, 2009. The provider is also known as Ms. Kimberly Sue Russell Nurse/Lpn.

Where is Kimberly Russell located?

Kimberly Russell practices at 81 Rhoads Center Dr, Centerville, OH 45458. The listed phone number is (937) 435-1161.

What is Kimberly Russell's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Russell was last updated on April 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.