Individual
DR. KATHRYN JOY RUSSELL
Active
Individual
DR. KATHRYN JOY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
115577
FL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
115577
FL
207NP0225X
Pediatric Dermatology Physician
115577
FL
207NS0135X
Procedural Dermatology Physician
115577
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/22/2009
Last updated
08/28/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up