Kimberly Russom, NP

NPI 1508506536 · on the registry since 2022

Practice

Address: 1705 W Reelfoot Ave
Union City, TN 38261
Phone: (731) 599-1102
Fax: (731) 599-1107
Organisation at this address: Fast Pace Medical Clinic Pllc
Fast Pace Medical Clinic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-03-29

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 Tennessee