IndividualActive
Kila Russell
NPI 1821743493 · Prosthetist · Mc Donald, TN
Provider details
- NPI number
- 1821743493
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Prosthetist224P00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3818 S Lee Hwy
Mc Donald, TN 37353-5876
Phone: (423) 320-7794
Approximate (ZIP-level) locationGet directions
Mailing address
3818 S Lee Hwy
Mc Donald, TN 37353-5876
Registry dates
- Enumerated
- 2022-02-13
- Last updated
- 2022-02-13
- Certified
- 2022-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.