Stephanie M. Russell Md Psc in Prospect - Pediatrics
Stephanie M. Russell Md Psc - NPI 1164508198
Stephanie M. Russell Md Psc is a Pediatrics in Prospect, Kentucky. Stephanie M. Russell Md Psc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stephanie M. Russell Md Psc is 1164508198. The last update date is 2010-03-11.
Stephanie M. Russell Md Psc's current location address is 10639 Meeting Street, Prospect, Kentucky. You can contact this provider via phone number 5024257827 and fax number 5024123979. The mailing address for Stephanie M. Russell Md Psc is 10639 Meeting Street, Prospect, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stephanie M. Russell Md Psc |
|---|---|
| Address | 10639 Meeting Street, Prospect, Kentucky |
| Phone Number | 5024257827 |
| Fax Number | 5024123979 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Russell M. Stephanie |
| Credentials | MD |
| Telephone Number | 5024257827 |
NPI Number Detail
| NPI Number | 1164508198 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2010-03-11 |
Provider Mailing Address Detail
| Address | 10639 Meeting Street |
|---|---|
| City | Prospect |
| State | Kentucky (KY) |
| Post Code | 400597544 |
| Phone Number | 5024257827 |
| Fax Number | 5024123979 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200314560A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stephanie M. Russell Md Psc by the Centers for Medicare & Medicaid Services (CMS)?
The Stephanie M. Russell Md Psc has been assigned the NPI (National Provider Identifier) 1164508198. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Stephanie M. Russell Md Psc?
The Stephanie M. Russell Md Psc is situated at 10639 Meeting Street, in the city of Prospect, state of KY, with the zip code 400597544.
What is Stephanie M. Russell Md Psc's area of expertise and its corresponding taxonomy classification?
The Stephanie M. Russell Md Psc's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Stephanie M. Russell Md Psc receive the assignment of its 1164508198 from the Centers for Medicare & Medicaid Services?
The Stephanie M. Russell Md Psc was issued its 1164508198 by the Centers for Medicare & Medicaid Services on 2006-10-31.
As of what date were the details related to Stephanie M. Russell Md Psc most recently updated or revised?
The information pertaining to Stephanie M. Russell Md Psc, including its address, specialty, and other relevant details, was last updated or revised on 2010-03-11.
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