Russo, Kathleen F
Russo, Kathleen F is an individual health care provider with primary practice located at 129 Woodson St , Salisbury NC 28144-3255. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Russo, Kathleen F can be contacted via phone (704) 636-5576.Contact Information
Primary practice address
129 Woodson St
Salisbury NC 28144-3255
Phone: (704) 636-5576
Fax: (704) 636-1755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 9700384 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 9700384 | North Carolina |
| Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X | 9700384 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9700384 | North Carolina |
Profile Details
| NPI number | 1558452532 |
|---|---|
| LBN Legal business name | Russo, Kathleen F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 11th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558452532 | NPPES |
| North Carolina | Other | 1032H | BCBS |
| North Carolina | MEDICAID | 891032H | BCBS |
| North Carolina | Other | 560988747 | BCBS |
| North Carolina | Other | 284339 | BCBS |
| North Carolina | Other | 8382976 | BCBS |
| North Carolina | Other | 20522 | BCBS |
| North Carolina | Other | 72589 | BCBS |
| North Carolina | Other | 1241179 | BCBS |
| North Carolina | Other | 413263 | BCBS |
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