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Kim Russell

NPI 1598353724 · on the registry since 2021

Practice

Address
6 Mathis Dr Nw
Rome, GA 30165
Phone
(706) 233-9023
Fax
(706) 295-1585
Organisation at this address
Highland Rivers
Highland Rivers Csb
Highland Rivers Csb
Highland Rivers Csb
Highland Rivers Csb
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
163WP0808X
163WP0808X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-04

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