Kimberly Denise Russell, OT - Occupational Therapist in Santa Ana, CA

Kimberly Denise Russell, OT is a Occupational Therapist - Pediatrics based in Santa Ana, California. Kimberly Denise Russell is licensed to practice in California (license number 1649) and her current practice location is 200 W Santa Ana Blvd, 100, Santa Ana, California. She can be reached at her office (for appointments etc.) via phone at (714) 347-0312.

NPI number for Kimberly Denise Russell is 1124078183 and her current mailing address is 2911 W Stonybrook Dr, Anaheim, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124078183.

Contact Information

Kimberly Denise Russell, OT
200 W Santa Ana Blvd, 100,
Santa Ana, CA 92701-4134
(714) 347-0312
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKimberly Denise Russell
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location200 W Santa Ana Blvd, Santa Ana, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124078183
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 06/05/2018

Medical Identifiers

Medical identifiers for Kimberly Denise Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124078183NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 1649 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Denise Russell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Denise Russell, OT
2911 W Stonybrook Dr,
Anaheim, CA 92804-3931

Ph: (949) 533-1078
Kimberly Denise Russell, OT
200 W Santa Ana Blvd, 100,
Santa Ana, CA 92701-4134

Ph: (714) 347-0312

Reviews and Comments


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