Individual
KATHLEEN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
295 BUCK RD, SUITE 114, HOLLAND, PA 18966-1733
(215) 953-1200
(215) 953-1201
Mailing address
295 BUCK RD, SUITE 114, HOLLAND, PA 18966-1733
(215) 953-1200
(215) 953-1201
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OEG001346
PA
Other
Enumeration date
07/18/2006
Last updated
10/02/2023
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