SearchAlaska163W00000X

Kelley Russell

NPI 1467803486 · on the registry since 2016 · sole proprietor

Practice

Address
1271 Surrey Cir
Apt 4
Anchorage, AK 99515
Phone
(907) 229-8686

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-30

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 Alaska