Stephanie M. Russell Md Psc
Pediatrics
Stephanie M. Russell Md Psc is a Prospect, Kentucky based Pediatric center with medical specialization in
General Pediatrics. Stephanie M. Russell Md Psc is doing business as
Kidzlife Pediatrics.
It is located at
10639 Meeting Street, Suite 101, Prospect, Kentucky - 40059-7544. They can be contacted on phone at
502-425-7827 and fax number 502-412-3979.
NPI number (Unique professional ID) for Stephanie M. Russell Md Psc is
1164508198 which was assigned by NPPES on 31 Oct, 2006 and it was last updated on 11 Mar, 2010.
Stephanie M. Russell Md Psc is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Stephanie M. Russell Md Psc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Stephanie M. Russell Md Psc |
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| Other Name : | Kidzlife Pediatrics |
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Business Address:
Stephanie M. Russell Md Psc 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 : | 10639 Meeting Street, Suite 101
Prospect, KY, 40059-7544
United States |
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| Phone Number : | 502-425-7827 |
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| Fax Number : | 502-412-3979 |
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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 : | 1164508198 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 31 Oct, 2006 |
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| Last Updated On : | 11 Mar, 2010 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Stephaniem. Russell |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 502-425-7827 |
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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 Stephanie M. Russell Md Psc are as mentioned. Primary taxonomy code for Stephanie M. Russell Md Psc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 363LF0000X | Nurse Practitioner Family | No | | KY |
| 208000000X | Pediatrics | Yes | | KY |
Legacy Identifiers:
Other legacy medical identifiers of Stephanie M. Russell Md Psc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200314560A | MEDICAID | IN | |
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 : | 10639 Meeting Street, Suite 101
Prospect, KY, 40059-7544
United States |
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| Phone Number : | 502-425-7827 |
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| Fax Number : | 502-412-3979 |
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Business Location:
Patients can refer following map for directions to
Stephanie M. Russell Md Psc 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.