Russell, Kellie S.

Russell, Kellie S. is an individual health care provider with primary practice located at 11333 Sepulveda Blvd , Mission Hills CA 91345-1116. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Russell, Kellie S. can be contacted via phone (818) 365-9531.

Contact Information

Primary practice address
11333 Sepulveda Blvd Mission Hills CA 91345-1116
Phone: (818) 365-9531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 34.009332 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 20A14139 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A14139 California

Profile Details

NPI number 1588856322
LBN Legal business name Russell, Kellie S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Nov 16th, 2015 - about 9 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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