Kimberly Denise Russell in Anaheim - Pediatrics
Kimberly Denise Russell - NPI 1124078183
Kimberly Denise Russell is a Pediatrics in Anaheim, California. Kimberly Denise Russell practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kimberly Denise Russell is 1124078183. The last update date is 2018-06-05.
Kimberly Denise Russell's current location address is 2911 W Stonybrook Dr, Anaheim, California. You can contact this provider via phone number 9495331078. The mailing address for Kimberly Denise Russell is 2911 W Stonybrook Dr, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Denise Russell |
|---|---|
| Address | 2911 W Stonybrook Dr, Anaheim, California |
| Phone Number | 9495331078 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1124078183 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2018-06-05 |
Provider Mailing Address Detail
| Address | 2911 W Stonybrook Dr |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928043931 |
| Phone Number | 9495331078 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 1649 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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What is the unique provider identifier assigned to Kimberly Denise Russell?
The Kimberly Denise Russell has been issued the NPI (National Provider Identifier) 1124078183 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Kimberly Denise Russell is geographically located?
The Kimberly Denise Russell is physically situated at the following location: 2911 W Stonybrook Dr, Anaheim, CA, 928043931.
What is the Kimberly Denise Russell's specialty and taxonomy code?
The Kimberly Denise Russell's specialty is Pediatrics, and the corresponding taxonomy code is 225Xp0200X.
On what date did Kimberly Denise Russell receive its 1124078183 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Denise Russell was assigned its 1124078183 on 2006-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kimberly Denise Russell most recently updated or refreshed?
The details pertaining to the Kimberly Denise Russell, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-06-05.
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