Individual
KELLY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5982 RHODES RD, KENT, OH 44240-8100
(330) 673-1347
Mailing address
5982 RHODES RD, KENT, OH 44240-8100
(330) 673-1347
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.412637
OH
Other
Enumeration date
11/10/2017
Last updated
04/28/2026
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