Russell, Kelly

Russell, Kelly is an sole proprietor health care provider with primary practice located at 18 Imperial Pl Unit 2D , Providence RI 02903-4642. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Russell, Kelly can be contacted via phone (401) 727-4800.

Contact Information

Primary practice address
18 Imperial Pl Unit 2D Providence RI 02903-4642
Phone: (401) 727-4800
Fax: (401) 921-4800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1154957652
LBN Legal business name Russell, Kelly
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2020
Last updated Jul 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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