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Contact Information

KATHRYN J RUSSELL, MD
2235 VENETIAN COURT SUITE 1
NAPLES, FL34109
 Phone: 619-543-6268
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Clinical & Laboratory Dermatological Immunology

207NI0002X 07 Physician/Dermatology
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KATHRYN J RUSSELL · (Female)

NPI Number 1184950313
Status Active
Credentials MD
Entity Individual
Enumeration date 10/22/2009
Last updated 08/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 115577
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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