Kim Russell, PAC

NPI 1528136900 · on the registry since 2006

Practice

Address: 2525 Cumberland Pkwy Se
Department Of Dermatology
Atlanta, GA 30339
Phone: (770) 431-4330
Fax: (770) 431-4193
Organisation at this address: Kaiser Foundation Health Plan Of Georgia Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 65

Registry record

Primary taxonomy: 207N00000X
207N00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-01-06

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 Georgia