Kelly A Russo is a Neurology in Malvern, Pennsylvania. Kelly A Russo practices all healthcare services and medical treatments related to Neurology. The NPI Number for Kelly A Russo is 1326115841. The last update date is 2019-01-18.
Kelly A Russo's current location address is 414 Paoli Pike, Malvern, Pennsylvania. You can contact this provider via phone number 4845967894. The mailing address for Kelly A Russo is 414 Paoli Pike, Malvern, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A Russo |
|---|---|
| Address | 414 Paoli Pike, Malvern, Pennsylvania |
| Phone Number | 4845967894 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT, DPT, N |
NPI Number Detail
| NPI Number | 1326115841 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2019-01-18 |
Provider Mailing Address Detail
| Address | 414 Paoli Pike |
|---|---|
| City | Malvern |
| State | Pennsylvania (PA) |
| Post Code | 193553311 |
| Phone Number | 4845967894 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2251N0400X |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledg |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly A Russo?
The Kelly A Russo has been issued the NPI (National Provider Identifier) 1326115841 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kelly A Russo's physical address?
The Kelly A Russo is physically located at 414 Paoli Pike, in the city of Malvern, PA, with the postal code 193553311.
What is Kelly A Russo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly A Russo is Neurology, and the taxonomy code that classifies this field of practice is 2251N0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326115841 to Kelly A Russo?
The Centers for Medicare & Medicaid Services originally issued the 1326115841 to Kelly A Russo on 2006-11-29.
When was the information regarding Kelly A Russo most recently updated?
The details pertaining to the Kelly A Russo, including its address, specialty, and other relevant information, were last refreshed on 2019-01-18.