Individual
KELLI R RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
525 N ERIE ST, TOLEDO, OH 43604-3373
(419) 936-2933
Mailing address
21275 CARIS RD, BOWLING GREEN, OH 43402-8290
(419) 297-2960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN270464
OH
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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