Stephanie M Russell
MD | Pediatrics | Female
Stephanie M Russell, MD is a Louisville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Stephanie M Russell is
10639 Meeting Street, Suite 101, Louisville, Kentucky - 40059-7544. She can be contacted on phone at
502-425-7827 and fax number 502-412-3979.
Stephanie M Russell is a sole proprietor of her business.
NPI number (Unique professional ID) for Stephanie M Russell is
1982684726 which was assigned by NPPES on 18 Jan, 2006 and it was last updated on 02 Apr, 2008.
Stephanie M Russell license number is
33992 for Pediatrics (208000000X) in Kentucky.
Stephanie M Russell 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 basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Stephanie M Russell |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Stephanie M Russell 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
Louisville, 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 : | 1982684726 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jan, 2006 |
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| Last Updated On : | 02 Apr, 2008 |
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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 are as mentioned. Primary taxonomy code for Stephanie M Russell, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 33992 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Stephanie M Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 64012016 | MEDICAID | KY | |
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
Louisville, 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 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.