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Individual

DR. KELLY SIPE RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., M.P.H.

Contact information

Practice address
1 HARRY S TRUMAN PKWY, MS 3102, ANNAPOLIS, MD 21401-7037
(410) 222-4114
Mailing address
1 HARRY TRUMAN PARKWAY, MS 3102, ANNAPOLIS, MD 21401
(410) 222-4114

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D0061987
MD

Other

Enumeration date
07/27/2006
Last updated
11/12/2009
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