KENNETH RAY RUSSELL

LOUISA, KY
NPI1053067074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-02-28
Last Update Date2022-02-28
Business Address
KENNETH RAY RUSSELL
125 S MAIN CROSS ST STE 202
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
KENNETH RAY RUSSELL
125 S MAIN CROSS ST STE 202
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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