Individual
MRS. KELLY MARIE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA, RN
Contact information
Practice address
513 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2113
(765) 653-3600
Mailing address
513 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2113
(765) 653-3600
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
95150173
IN
163WC1500X
Community Health Registered Nurse
28293264A
IN
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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