Individual
DR. RUSSELL F KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 AIRPORT BLVD STE C138, MOBILE, AL 36608-3784
(251) 333-3333
(251) 410-4444
Mailing address
126 MEDICAL DR, PALESTINE, TX 75801-8506
(903) 731-0509
(903) 723-3064
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-082186
IL
207RC0000X
Cardiovascular Disease Physician
Primary
R1973
TX
207RI0011X
Interventional Cardiology Physician
36353
AL
Other
Enumeration date
07/19/2006
Last updated
04/17/2019
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