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Dr. Kathleen F Russo, MD
Pediatrics Physician in Salisbury, North Carolina
NPI 1558452532

Kathleen F Russo is a Pediatrics Physician based in Salisbury, NC. Kathleen F Russo practices in Salisbury, NC and has the professional credentials of MD. The NPI Number for Kathleen F Russo is 1558452532 and holds a License No. 9700384 (North Carolina).

The current practice location address for Kathleen F Russo is 129 Woodson St, Salisbury, NC and can be reached out via phone at 704-636-5576 and via fax at 704-636-1755. You can also correspond with Kathleen F Russo through the mailing address at 129 WOODSON ST, SALISBURY, NC - 28144-3255 (mailing address contact number: 704-636-5576).

Location: 129 Woodson St, Salisbury, NC, 28144-3255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558452532
Provider Name
Kathleen F Russo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
129 Woodson St, Salisbury, NC, 28144-3255
Phone Number
704-636-5576
Fax Number
704-636-1755
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1032H 01 NC BCBS
891032H 05 NC
560988747 01 NC CIGNA HEALTHCARE
284339 01 NC MAMSI
8382976 01 NC AETNA
20522 01 NC PARTNERS
72589 01 NC MEDCOST PREFERRED
1241179 01 NC UNITED HEALTHCARE
413263 01 NC PHCS
institution
Provider Business Practice Location Address Details
Address
129 Woodson St
City
Salisbury
State
North Carolina
Zip
28144-3255
Phone Number
704-636-5576
Fax Number
704-636-1755
person
Provider Business Mailing Address Details
Address
129 Woodson St
City
Salisbury
State
North Carolina
Zip
28144-3255
Phone Number
704-636-5576
Fax Number
704-636-1755
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Pediatric Dermatology
Taxonomy
207NP0225X
License No.
9700384 (North Carolina)
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
9700384 (North Carolina)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
9700384 (North Carolina)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Child Abuse Pediatrics
Taxonomy
2080C0008X
License No.
9700384 (North Carolina)
Definition
A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
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