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Individual
DR. KATHLEEN F RUSSO
Active
Individual
DR. KATHLEEN F RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
9700384
NC
208000000X
Pediatrics Physician
9700384
NC
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
9700384
NC
2080C0008X
Child Abuse Pediatrics Physician
9700384
NC
Other
Enumeration date
09/27/2006
Last updated
07/11/2013
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