Individual provider · Type 1 NPI
Kathryn A. Russell, DC
Chiropractor · Niceville, FL
NPI number
1174291975
Active
Practice location
350 John Sims Pkwy W Unit 401
Niceville, FL 32578-1963
Mailing address
460 S Rosemary Ave Apt 307
West Palm Beach, FL 33401-5799
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 13696 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1174291975
Kathryn A. Russell, DC's National Provider Identifier is 1174291975, issued on Sep 6, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Niceville, FL. The record was last updated on Jun 18, 2023.