institution
Russell S Kelly Md Llc
Primary Care Clinic/Center in Ewa Beach, Hawaii
NPI 1598810814

Russell S Kelly Md Llc is a Primary Care Clinic/Center based in Ewa Beach, HI and is specialized in Primary Care. Russell S Kelly Md Llc practices in Ewa Beach, HI. The NPI Number for Russell S Kelly Md Llc is 1598810814 and holds a License No. 11807 (Hawaii).

The current practice location address for Russell S Kelly Md Llc is 91-2139 Fort Weaver Rd, Ewa Beach, HI and can be reached out via phone at 808-678-0700 and via fax at 808-678-0776.

Location: 91-2139 Fort Weaver Rd, Ewa Beach, HI, 96706-3607
institution
Provider Profile Details
NPI Number
1598810814
Provider Name
Russell S Kelly Md Llc
Credential
Provider Entity Type
Organization
Address
91-2139 Fort Weaver Rd, Ewa Beach, HI, 96706-3607
Phone Number
808-678-0700
Fax Number
808-678-0776
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000241885 05 HI
53920701 05 HI
institution
Provider Business Practice Location Address Details
Address
91-2139 Fort Weaver Rd
City
State
Zip
96706-3607
Phone Number
808-678-0700
Fax Number
808-678-0776
person
Provider Business Mailing Address Details
Address
91-2139 Fort Weaver Rd
City
State
Zip
96706-3607
Phone Number
808-678-0700
Fax Number
808-678-0776
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
11807 (Hawaii)
Definition
Definition to come...
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