DR. RUSSELL RANDOLPH KELLEY (NPI# 1235205311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235205311 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL RANDOLPH KELLEY |
| Credential | M.D. |
| Practice Address |
2259 Del Cristal Bullhead City AZ 86442-8671 |
| Practice Telephone | 9287575945 |
| Practice Fax Number | 9287585945 |
| Mailing Telephone | 9287575945 |
| Mailing Fax Number | 9287585945 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
8249 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992783849 | Russell Aldous Kelley | Registered Nurse | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2006-01-01 |
| 1215375373 | Russell Phelps Kelley Iv | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2013-06-11 |
| 1881665727 | Russell Kelley | Dermatology | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2006-01-30 |
| 1275511339 | Russell Kelley | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-08 |
| Street Address |
2259 DEL CRISTAL |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-8671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508998527 | Violeta Andres Kelley | Anesthesiology | 2259 Del Cristal, Bullhead City, AZ 86442-8671 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720618374 | Denise Lynn Gallus | Obstetrics & Gynecology | 1000 Willow Creek Rd Ste E, Prescott, AZ 86301-1645 | 2020-01-23 |
| 1417471954 | Samuel R Blakesley | Obstetrics & Gynecology | 6522 E Carondelet Dr Ste A, Tucson, AZ 85710-2197 | 2017-07-26 |
| 1326493768 | Desert Princess Medical Grp | Obstetrics & Gynecology | 9377 E Bell Rd Ste 131, Scottsdale, AZ 85260-1503 | 2016-05-03 |
| 1124414834 | Rachel Eliason | Obstetrics & Gynecology | 500 W Thomas Rd Ste 660, Phoenix, AZ 85013-4247 | 2015-04-09 |
| 1568889939 | Anthea Dixon Md Ltd | Obstetrics & Gynecology | 5190 E Farness Dr Ste 106, Tucson, AZ 85712-2142 | 2014-03-24 |
| 1205174729 | Scott Alan Rovner | Obstetrics & Gynecology | 7619 E Medlock Dr, Scottsdale, AZ 85250-7720 | 2013-01-17 |
| 1336486679 | Raul A Osorio Md PC | Obstetrics & Gynecology | 6242 E Arbor Ave Ste 118, Mesa, AZ 85206-1309 | 2013-01-07 |
| 1255632295 | John Leroy Kallmeyer, M.d. | Obstetrics & Gynecology | 11122 E. Rusty Spur Pl., Tucson, AZ 85749 | 2010-11-08 |
| 1750556338 | Judith C Scott | Obstetrics & Gynecology | 215 S Power Rd Ste 218, Mesa, AZ 85206-5238 | 2008-04-24 |
| 1033389911 | Gynecolgy Center of Phoenix | Obstetrics & Gynecology | 2222 E Highland Ave Ste 225a, Phoenix, AZ 85016-4885 | 2008-03-06 |
| Find all providers with the same taxonomy | ||||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
Please comment or provide details below to improve the information on DR. RUSSELL RANDOLPH KELLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.