MRS. Kelly Russell, CNM
NPI #1154957652 in Providence, Rhode Island
Provider Information
- NPI Number
- 1154957652
- Entity Type
- Individual
- Name
- MRS. Kelly Russell, CNM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Advanced Practice Midwife
- Credential
- CNM
- Enumeration Date
- Mar 16, 2020
- Last Updated
- Jul 19, 2024
Practice Location
- Address
- 18 IMPERIAL PL UNIT 2D
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02903-4642
- Phone
- (401) 727-4800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Advanced Practice Midwife |
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