KELLY RUSSELL

PROVIDENCE, RI
NPI1154957652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
Enumeration Date2020-03-16
Last Update Date2024-07-19
Business Address
Mrs. KELLY RUSSELL CNM
18 IMPERIAL PL UNIT 2D
PROVIDENCE, RI 02903-4642
Phone number: 401-727-4800
Mailing Address
Mrs. KELLY RUSSELL CNM
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number: