Kelly, Russell James

Kelly, Russell James is an individual health care provider with primary practice located at 550 S College Ave , Newark DE 19713-1302. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Kelly, Russell James can be contacted via phone (302) 453-5289.

Contact Information

Primary practice address
550 S College Ave Newark DE 19713-1302
Phone: (302) 453-5289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1346430428
LBN Legal business name Kelly, Russell James
Credentials MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 26th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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