person
Kristin E Russell, PA-C
Medical Physician Assistant in Fayetteville, North Carolina
NPI 1972544559

Kristin E Russell is a Medical Physician Assistant based in Fayetteville, NC and is specialized in Medical. Kristin E Russell practices in Fayetteville, NC and has the professional credentials of PA-C. The NPI Number for Kristin E Russell is 1972544559 and holds a License No. 104196 (North Carolina).

The current practice location address for Kristin E Russell is 1880 Quiet Cv, Fayetteville, NC and can be reached out via phone at 910-323-2477 and via fax at 910-323-5931.

Location: 1880 Quiet Cv, Fayetteville, NC, 28304-3857
person
Provider Profile Details
NPI Number
1972544559
Provider Name
Kristin E Russell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1880 Quiet Cv, Fayetteville, NC, 28304-3857
Phone Number
910-323-2477
Fax Number
910-323-5931
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
124919 01 NC PA CERTIFICATE OF REGISTR
institution
Provider Business Practice Location Address Details
Address
1880 Quiet Cv
City
State
Zip
28304-3857
Phone Number
910-323-2477
Fax Number
910-323-5931
person
Provider Business Mailing Address Details
Address
1880 Quiet Cv
City
State
Zip
28304-3857
Phone Number
910-323-2477
Fax Number
910-323-5931
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
104196 (North Carolina)
Definition
Definition to come...
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