Dr. Kathleen F Russo
M.D. | Pediatric Adolescent Medicine | Female
Dr. Kathleen F Russo, M.D. is a Salisbury, North Carolina based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Kathleen F Russo is
129 Woodson St, Salisbury, North Carolina - 28144-3255. She can be contacted on phone at
704-636-5576 and fax number 704-636-1755.
Dr. Kathleen F Russo is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kathleen F Russo is
1558452532 which was assigned by NPPES on 27 Sep, 2006 and it was last updated on 11 Jul, 2013.
Dr. Kathleen F Russo license number is
9700384 for Pediatrics Adolescent Medicine (2080A0000X) in North Carolina.
Dr. Kathleen F Russo specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Kathleen F Russo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Kathleen F Russo |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Kathleen F Russo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 129 Woodson St
Salisbury, NC, 28144-3255
United States |
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| Phone Number : | 704-636-5576 |
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| Fax Number : | 704-636-1755 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1558452532 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Sep, 2006 |
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| Last Updated On : | 11 Jul, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kathleen F Russo are as mentioned. Primary taxonomy code for Dr. Kathleen F Russo, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207NP0225X | Dermatology Pediatric Dermatology | No | 9700384 | NC |
| 2080C0008X | Pediatrics Child Abuse Pediatrics | No | 9700384 | NC |
| 208000000X | Pediatrics | No | 9700384 | NC |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 9700384 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kathleen F Russo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 560988747 | Other | NC | CIGNA HEALTHCARE |
| 20522 | Other | NC | PARTNERS |
| 1032H | Other | NC | BCBS |
| 413263 | Other | NC | PHCS |
| 1241179 | Other | NC | UNITED HEALTHCARE |
| 8382976 | Other | NC | AETNA |
| 284339 | Other | NC | MAMSI |
| 72589 | Other | NC | MEDCOST PREFERRED |
| 891032H | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 129 Woodson St
Salisbury, NC, 28144-3255
United States |
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| Phone Number : | 704-636-5576 |
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| Fax Number : | 704-636-1755 |
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Business Location:
Patients can refer following map for directions to
Dr. Kathleen F Russo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.