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Contact Information

KESHIA J RUSSELL, MCD, CCC-SLP
1002 ELM STREET
DONIPHAN, MO63935
 Phone: 573-996-3667
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KESHIA J RUSSELL · (Female)

NPI Number 1447649595
Status Active
Credentials MCD, CCC-SLP
Entity Individual
Enumeration date 01/13/2015
Last updated 08/11/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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