Kelly Russin PA

  • NPI 1780745554
According to our database, the NPI number for Kelly Russin PA is 1780745554 and activated since 17 years ago. Kelly Russin PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 6325 Shannon Pkwy, Union City, GA 30291. You can also contact Kelly Russin PA via telephone number is (770) 964-1400. Provider NPI information was last updated on 07/26/2012.

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Overview of Kelly Russin PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 12/13/2006
  • Last updated: 07/26/2012

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 004096
  • License State: GA

Provider Mailing Address

  • Address: 6325 Shannon Pkwy
    Suite D
    Union City, GA 30291
  • Phone: 770-964-1400
  • Fax: 770-306-1343

Provider Practice Location

  • Address: 6325 Shannon Pkwy
    Suite D
    Union City, GA 30291
  • Phone: 770-964-1400
  • Fax: 770-306-1343

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 004096
  • License State: GA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kelly Russin PA?
  • A: The npi number for Kelly Russin PA is 1780745554.
  • Q: What are Kelly Russin PA's specialties?
  • A: Kelly Russin PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Kelly Russin PA?
  • A: The medical license number for Kelly Russin PA is 004096 and issued in GA in USA.
  • Q: Where is Kelly Russin PA practice location?
  • A: Kelly Russin PA is practicing at 6325 Shannon Pkwy, Union City, GA 30291.
  • Q: How to contact Kelly Russin PA?
  • A: You can contact Kelly Russin PA via 770-964-1400.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.