Individual
KIMBERLEY A RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35 WALKER ST, KITTERY, ME 03904-1727
(207) 439-4430
(207) 439-0968
Mailing address
100 SHATTUCK WAY, STE 100, NEWINGTON, NH 03801-8007
(603) 431-6677
(603) 610-7713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP081884
ME
Other
Enumeration date
01/31/2007
Last updated
02/22/2017
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