Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Kayla Mae Russell, PA-C

Individual provider Physician Assistant · NPI 1245141670

Kayla Mae Russell, PA-C is a Physician Assistant in Selinsgrove, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

21 Susquehanna Valley Mall Dr Ste A
Selinsgrove, PA 17870-9148
Phone: (570) 374-7852
Fax: (570) 374-7932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence OA007894 (PA)

Record details

NPI number1245141670
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 15, 2026
Last updated in NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026

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