Individual provider · Type 1 NPI

Kimberly Sue Russell, NURSE/LPN

Licensed Practical Nurse · Centerville, OH

NPI number 1780828343 Active

Practice location

81 Rhoads Center Dr
Centerville, OH 45458-3859

Call (937) 435-1161 Map

Mailing address

1453 Commonwealth Dr
Xenia, OH 45385-4801

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN109782 (OH)
Licensed Practical Nurse 164W00000X109782 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1780828343

Kimberly Sue Russell, NURSE/LPN's National Provider Identifier is 1780828343, issued on Apr 27, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Centerville, OH. The record was last updated on Apr 27, 2009.