Russo, Kelly A

Russo, Kelly A is an sole proprietor health care provider with primary practice located at 414 Paoli Pike , Malvern PA 19355-3311. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as her primary health care specialty. Russo, Kelly A can be contacted via phone (484) 596-7894.

Contact Information

Primary practice address
414 Paoli Pike Malvern PA 19355-3311
Phone: (484) 596-7894
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X Pennsylvania

Profile Details

NPI number 1326115841
LBN Legal business name Russo, Kelly A
Credentials PT, DPT, NCS, ATP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jan 18th, 2019 - 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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