Russell, Kerry S

Russell, Kerry S is an individual health care provider with primary practice located at 800 Howard Ave Yale Physicians' Building, 2Nd Floor, New Haven CT 06519-1369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Russell, Kerry S can be contacted via phone (203) 785-4114.

Contact Information

Primary practice address
800 Howard Ave Yale Physicians' Building, 2Nd Floor New Haven CT 06519-1369
Phone: (203) 785-4114
Fax: (203) 737-2437
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 038909 Connecticut

Profile Details

NPI number 1538157730
LBN Legal business name Russell, Kerry S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Mar 31st, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538157730 NPPES
Connecticut MEDICAID 001389099

Popular Providers