Russell S Kelly, MD
Internal Medicine in Ewa Beach, HI. Individual provider (NPI-1).
NPI number1790787729
StatusActive
Last updated in NPPESFeb 6, 2008
Details
- NPI
- 1790787729
- Entity type
- Individual (NPI-1)
- Name
- Russell S Kelly
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2005
- Last updated
- Feb 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 11807 | HI | Yes |
Practice location
91-2139 Fort Weaver RdSuite 300
Ewa Beach, HI 96706-3607
Phone 808-678-0700 · Fax 808-678-0776
Mailing address
91-2139 Fort Weaver RdSuite 300
Ewa Beach, HI 96706-3607
Phone 808-678-0700 · Fax 808-678-0776
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