KELLY RUSSELL

PROVIDENCE, RI
NPI1154957652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
Enumeration Date2020-03-16
Last Update Date2021-05-04
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:
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