MRS. KIM KOEHLER RUSSELL


Address: 3666 Kearny Villa Rd, Suite 308, San Diego, CA 92123-1951
Phone: 8585055460

MRS. KIM KOEHLER RUSSELL (NPI# 1184866899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184866899
Entity Type Individual
Full Name MRS. KIM KOEHLER RUSSELL
Credential OTR/L
Practice Address 3666 Kearny Villa Rd
Suite 308
San Diego
CA 92123-1951
Mailing Address 715 Colima Street
La Jolla
CA 92037
Practice Telephone 8585055460
Mailing Telephone 6198949398
Enumeration Date 2009-03-26
Last Update Date 2009-03-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XH1200X Occupational Therapist
Specialization: Hand
9543 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KIM RUSSELL

NPI Name Taxonomy Address Enumeration
1265664981 Kim A Russell Licensed Practical Nurse 99 David Rhodes Road, Westbrookeville, NY 12785-0605 2009-08-13
1730733908 Kim Marie Russell Respiratory Therapist, Registered 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2019-07-26
1932617305 Kim Russell Pharmacist 18785 Brookhurst St Ste 201, Fountain Valley, CA 92708-7300 2018-01-18
1528136900 Kim L Russell Dermatology 2525 Cumberland Parkwa, Department of Dermatology, Atlanta, GA 30339 2006-12-01
1750366597 Kim R Russell Social Worker 492 Route 57 W, Washington, NJ 07882-4338 2005-12-14

Office Location

Street Address 3666 KEARNY VILLA RD
SUITE 308
City SAN DIEGO
State CA
Zip Code 92123-1951

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750420949 Michael Thomas Ryder Physical Therapist 3666 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1949 2007-02-05
1457765026 Stephanie Ada Iacobelli Physical Therapist 3666 Kearny Villa Rd, San Diego, CA 92123-1951 2014-06-11
1811319627 Colleen Maher Occupational Therapist 3666 Kearny Villa Rd, San Diego, CA 92123-1951 2014-01-14
1326478314 Brandon Kusakabe Physical Therapist 3666 Kearny Villa Rd, San Diego, CA 92123-1951 2013-11-12
1457791451 Olga Lyssanova Specialist/Technologist 3666 Kearny Villa Rd, Suite #225, San Diego, CA 92123-1951 2013-07-05
1598052771 Michael Leverne Stewart Physical Therapist 3666 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1951 2011-07-07
1598083933 Charles Joseph Marty Physical Therapist 3666 Kearny Villa Rd, 200, San Diego, CA 92123-1951 2010-05-10
1205151651 Celia Bartman Physical Therapy Assistant 3666 Kearny Villa Rd, 225, San Diego, CA 92123-1951 2010-03-29
1962727321 Fred Schmitz Specialist 3666 Kearny Villa Rd, San Diego, CA 92123-1951 2010-03-29
1881919215 Anthony S Sanchez Physical Therapist 3666 Kearny Villa Rd, Suite 225, San Diego, CA 92123-1951 2010-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
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Taxonomy Information

Taxonomy Code 225XH1200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Hand

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124267034 Adrienne Ann Spelyng Occupational Therapist 200 West Arbor Dr. Ucsd Medical Center, Mail Drop 8775, San Diego, CA 92103 2009-02-17
1578776464 Sandra Doehr Occupational Therapist 770 Washington St Ste 207, San Diego, CA 92103-2209 2007-05-07
1841415684 Linda Mae Occupational Therapist 1234 Robinson Ave Apt 5, San Diego, CA 92103-4400 2007-04-16
1932128030 Marci Yuri Ito Occupational Therapist 3515 Argonne St, San Diego, CA 92117-1009 2006-07-19
1225090483 Leslie M Aoto Occupational Therapist 12250 El Camio Real St, Ste 190, San Diego, CA 92130 2006-04-04
1073584553 Maureen H Harrington Occupational Therapist 34730 Bob Wilson Dr, San Diego, CA 92134-3098 2006-01-31
1851701650 Joshua Kwon Occupational Therapist 9040 Friars Rd Ste 410, San Diego, CA 92108-5862 2014-05-01
1336445063 Lisa Fern Harris Occupational Therapist 200 W Arbor Dr, San Diego, CA 92103-9000 2011-01-27
1376867812 Kathy T Sausser Occupational Therapist 16950 Via Tazon, San Diego, CA 92127-1607 2010-03-25
1265756019 Michelle Miles-kessell Occupational Therapist 16899 W Bernardo Dr, San Diego, CA 92127-1603 2010-03-23
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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