KIMBERLY NICHOLE RUSSELL
NPI 1952443665
Counselor - Mental Health in Muskogee, OK
Active since February 12, 2007
About Kimberly Nichole Russell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY NICHOLE RUSSELL (NPI 1952443665) is an individual mental health provider in Muskogee, Oklahoma and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1952443665
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY NICHOLE RUSSELL
Location Address619 N MAIN STMuskogee, OK 74401-4431
Mailing Address20208 E 43rd PlBroken Arrow, OK 74014-1595 · (918) 286-7744
Phone(918) 682-8407
Sole ProprietorYes
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952443665 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
619 N MAIN ST, Muskogee, OK 74401
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Mental Health (Including Community Mental Health Center))
619 N MAIN ST
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952443665, enumerated as an "individual" on February 12, 2007.
The provider is located at 619 N MAIN ST MUSKOGEE, OK 74401 and the phone number is (918) 682-8407.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
