SearchMichigan103T00000X

Kelsey Russom, MS

NPI 1124538848 · on the registry since 2017

Practice

Address
30150 Telegraph Rd Ste 245
Bingham Farms, MI 48025
Phone
(231) 580-5845
Organisation at this address
Dme Source Llc
Mms Audiology Llc
S D Consulting Inc
Michigan Imaging, Llc
Michigan Imaging, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Additional practice sites

  • 32040 Valley View St, Farmington, MI

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan