Russell, Kathryn Joy

Russell, Kathryn Joy is an individual health care provider with primary practice located at 2235 Venetian Court Suite 1 , Naples FL 34109. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Russell, Kathryn Joy can be contacted via phone (619) 543-6268.

Contact Information

Primary practice address
2235 Venetian Court Suite 1 Naples FL 34109
Phone: (619) 543-6268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 115577 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 115577 Florida
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 115577 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 115577 Florida

Profile Details

NPI number 1184950313
LBN Legal business name Russell, Kathryn Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2009
Last updated Aug 28th, 2020 - about 5 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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