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1154957652
KELLY RUSSELL
PROVIDENCE, RI
NPI
1154957652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
Enumeration Date
2020-03-16
Last Update Date
2024-07-19
Business Address
Mrs. KELLY RUSSELL CNM
18 IMPERIAL PL UNIT 2D
PROVIDENCE, RI 02903-4642
Phone number: 401-727-4800
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Mailing Address
Mrs. KELLY RUSSELL CNM
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number:
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