RUSSELL JOHN KINSEY

ANNA, IL
NPI1942645411
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.004652)
Enumeration Date2013-05-09
Last Update Date2013-05-09
Business Address
-- RUSSELL JOHN KINSEY PA-C
517 N MAIN ST
ANNA, IL 62906-1668
Phone number: 618-833-4511
Mailing Address
-- RUSSELL JOHN KINSEY PA-C
4971 S PALMER AVE
SPRINGFIELD, MO 65804-7482
Phone number: 417-380-1444
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