Provider Demographics
NPI:1013988385
Name:RUSSELL, KATHRYN B (MD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:B
Last Name:RUSSELL
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7113 THREE CHOPT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3643
Mailing Address - Country:US
Mailing Address - Phone:804-282-4205
Mailing Address - Fax:804-673-6432
Practice Address - Street 1:7113 THREE CHOPT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3643
Practice Address - Country:US
Practice Address - Phone:804-282-4205
Practice Address - Fax:804-673-6432
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2011-10-26
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Provider Licenses
StateLicense IDTaxonomies
VA0101059290208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics