Stephanie M. Russell MD PSC
Stephanie M. Russell MD PSC provides Pediatrics Physician services in Prospect, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.
- Licensed in
- KY
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PSC — Professional service corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10639 Meeting St Ste 101Prospect, KY 40059-7544 Not confirmed with CMS for 16 years — call before visiting
Phone: (502) 425-7827
Fax: (502) 412-3979
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X (KY) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X (KY) |
Record details
| NPI number | 1164508198 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephanie Russell — Owner · (502) 425-7827 |
| Other names | Kidzlife Pediatrics |
| NPI enumerated | October 31, 2006 |
| Last updated in NPPES | March 11, 2010 |
| Mailing address | 10639 Meeting Street, Suite 101, Prospect, KY 40059-7544 |
Other providers in Prospect
-
Spencer Ryan Idstein, MD
6341 Meeting St Ste 102, Prospect, KY 40059-8731 · (502) 566-0300
-
Dr. Terence P McKenna, MD
9217 US Highway 42, Prospect, KY 40059-8858 · (502) 228-1312
-
Prospect Pediatrics, PSC
9217 US Highway 42, Prospect, KY 40059-8858 · (502) 228-1312
-
Dr. Irma Nydia Ramos, MD
3220 Deer Point Pl, Prospect, KY 40059-8138 · (502) 292-0047