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Contact Information

CAMILLE A RUSSELL MCKESEY, MD
700 W CENTRAL
SUITE 204
EL DORADO, KS67042
 Phone: 316-320-0501
 Fax: 316-321-0503
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CAMILLE A RUSSELL MCKESEY · (Female)

NPI Number 1013099456
Status Active
Credentials MD
Entity Individual
Enumeration date 10/19/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 0430298
  • KS Other 103157 BCBS OF KS
  • KS Other 453460 FIRST GUARD
Hospital affiliation(s)
  • SUSAN B ALLEN MEMORIAL HOSPITAL - (Acute Care)
    720 W CENTRAL ST
    EL DORADO, KS 67042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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