TABITHA DENISE RUSSELL

ELIZABETHTOWN, KY
NPI1386575645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date2026-05-26
Last Update Date2026-05-26
Business Address
TABITHA DENISE RUSSELL CST, CSFA
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701-2503
Phone number: 270-706-1212
Mailing Address
TABITHA DENISE RUSSELL CST, CSFA
122 APACHE TRCE
FALLS OF ROUGH, KY 40119-6613
Phone number: