Russell S Kelly, MD

NPI #1790787729 in Ewa Beach, Hawaii

Provider Information

NPI Number: 1790787729
Entity Type: Individual
Name: Russell S Kelly, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 10, 2005
Last Updated: Feb 6, 2008

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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