Individual provider · Type 1 NPI

Kyle Russell

Pedorthist · Oklahoma City, OK

NPI number 1245771393 Active

Practice location

921 NE 13th St, Prosthetics Department
Oklahoma City, OK 73104-5007

Call (405) 456-5656 Map

Fax (405) 456-1532

Specialties and licenses

TaxonomyCodeLicense
Pedorthist Primary 224L00000XNone listed

Pedorthist: 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.

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About NPI 1245771393

Kyle Russell's National Provider Identifier is 1245771393, issued on Mar 9, 2017. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 9, 2017.