Kody Eugene Russelburg
Kody Eugene Russelburg is an Anesthesiology in Gainesville, Florida. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Florida.
- Years since qualifying
- 4
- Licensed in
- FL
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Gainesville, FLNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1431 Sw 1st Ave, Ocala, FL 34471-6500 — (352) 401-8323
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence OS23935 (FL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1902556822 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 24, 2022 |
| Last updated in NPPES | July 10, 2026 |
| Certification date | July 10, 2026 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
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