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Kelly Russell

NPI 1760396626 · on the registry since 2026 · sole proprietor

Practice

Address
1517 Durham Rd
Penndel, PA 19047
Phone
(267) 587-2300
Organisation at this address
Penndel Mental Health Center
Penndel Mental Health Center
Penndel Mental Health Center
Penndel Mental Health Center
Penndel Mental Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
138

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-29

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 Pennsylvania