Russell John Kinsey, PA-C Valid NPI
Individual provider · Physician Assistant · Anna, IL
- NPI
- 1942645411
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 085.004652 (IL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2013-05-09
- Last updated
- 2013-05-09
Practice location
517 N Main St
Anna, IL 62906-1668
(618) 833-4511