Russell S Kelly MD LLC

NPI #1598810814 in Ewa Beach, Hawaii

Provider Information

NPI Number
1598810814
Entity Type
Organization
Organization Name
Russell S Kelly MD LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jan 25, 2007
Last Updated
Feb 6, 2008

Practice Location

Address
91-2139 FORT WEAVER RD
Address 2
SUITE 300
State
Hawaii
ZIP Code
96706-3607
Phone
(808) 678-0700

Authorized Official

Name
DR. RUSSELL S KELLY, M.D.
Title
PHYSICIAN
Phone
(808) 678-0700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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