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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY RUSSELL

Active Sole Proprietor

Community Health Worker · CRAIGSVILLE, WV

Registration Details

NPI Number
1801480710
Provider Type
Individual
Gender
Female
NPI Issued
Feb 22, 2021 (5.1905284109072 yrs)
Last Updated
Feb 22, 2021
Sole Proprietor
Yes

Practice Information

Address
418 MEADOWS RD
CRAIGSVILLE, WV, 262058887
Browse WV providers · Browse ZIP 26205
Phone
3046514220
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in CRAIGSVILLE, WV

Name Credential NPI
DEBRA KNIGHT 1821680711
RICHARD RAMSEY 1912591496
CINDY STUART 1467046508
DARRELL COX 1104411909
CHASITY BYRD 1699360818
BILLIE PROCTOR 1972188167
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.