Individual
KATHERINE RUSSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 DENNING WAY, NORTH VERSAILLES, PA 15137-2657
(412) 824-0169
Mailing address
2002 DENNING WAY, NORTH VERSAILLES, PA 15137-2657
(412) 824-0169
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
147370
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247100000X
RADIOLOGY
—
Enumeration date
06/03/2010
Last updated
06/03/2010
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