Kelly Shannon Russell in Allen - Primary Care
Kelly Shannon Russell - NPI 1538375233
Kelly Shannon Russell is a Primary Care in Allen, Oklahoma. Kelly Shannon Russell practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Kelly Shannon Russell is 1538375233. The last update date is 2019-01-14.
Kelly Shannon Russell's current location address is 200 Easton Street, Allen, Oklahoma. You can contact this provider via phone number 5808571300. The mailing address for Kelly Shannon Russell is 200 Easton Street, Allen, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Shannon Russell |
|---|---|
| Address | 200 Easton Street, Allen, Oklahoma |
| Phone Number | 5808571300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN-CNP |
NPI Number Detail
| NPI Number | 1538375233 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2019-01-14 |
Provider Mailing Address Detail
| Address | 200 Easton Street |
|---|---|
| City | Allen |
| State | Oklahoma (OK) |
| Post Code | 74825 |
| Phone Number | 5808571300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 363Lp2300X |
| Licence No | 50643 |
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Definition: An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages. |
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What is the Kelly Shannon Russell's 1538375233?
The Kelly Shannon Russell's NPI (National Provider Identifier) Number is 1538375233. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kelly Shannon Russell's facilities are geographically located?
The facilities of Kelly Shannon Russell are physically situated at the following location: 200 Easton Street, Allen, OK, 74825.
What is Kelly Shannon Russell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly Shannon Russell is Primary Care, and the taxonomy code that categorizes this field of expertise is 363Lp2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1538375233 to Kelly Shannon Russell?
The Kelly Shannon Russell received its 1538375233 assignment from the Centers for Medicare & Medicaid Services on 2007-05-16.
When was the information regarding Kelly Shannon Russell most recently updated?
The details pertaining to the Kelly Shannon Russell, including its address, specialty, and other relevant information, were last refreshed on 2019-01-14.
NPI Number: 1417950320
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