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NPI Profile for KYLE RUSSELL in OKLAHOMA CITY, OK.
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pedorthist |
224L00000X |
| NPI Number | 1245771393 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/09/2017 | |
| Last updated | 03/09/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KYLE RUSSELL
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KYLE RUSSELL