Kimberly J Russert in Canton - Psychiatric/mental Health

Kimberly J Russert - NPI 1275753204

Kimberly J Russert is a Psychiatric/mental Health in Canton, Ohio. Kimberly J Russert practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Kimberly J Russert is 1275753204. The last update date is 2007-07-08.

Kimberly J Russert's current location address is 625 Cleveland Ave Nw, Canton, Ohio. You can contact this provider via phone number 3304550374 and fax number 3304552101. The mailing address for Kimberly J Russert is 625 Cleveland Ave Nw, Canton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly J Russert
Address 625 Cleveland Ave Nw, Canton, Ohio
Phone Number 3304550374
Fax Number 3304552101
Sole Proprietor N
Credentials RNC

NPI Number Detail

NPI Number 1275753204
Provider Enumeration Date 2007-05-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 625 Cleveland Ave Nw
City Canton
State Ohio (OH)
Post Code 447021805
Phone Number 3304550374
Fax Number 3304552101

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 163Wp0808X
Licence No RN174201
Definition:
A registered nurse who cares for patients with mental health disorders and conditions.

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FAQs about Kimberly J Russert

What is the unique 10-digit identification code assigned to Kimberly J Russert by the Centers for Medicare & Medicaid Services?

The Kimberly J Russert has been issued the NPI (National Provider Identifier) 1275753204, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kimberly J Russert is physically located?

The Kimberly J Russert is physically situated at the following address: 625 Cleveland Ave Nw, Canton, OH, 447021805.

What is Kimberly J Russert's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kimberly J Russert's area of specialization is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this field of practice is 163Wp0808X.

On what date did the Kimberly J Russert receive the assignment of its 1275753204 from the Centers for Medicare & Medicaid Services?

The Kimberly J Russert was issued its 1275753204 by the Centers for Medicare & Medicaid Services on 2007-05-01.

As of what date were the details related to Kimberly J Russert most recently updated or revised?

The information pertaining to Kimberly J Russert, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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