DR. RUSSELL F KELLY


Address: 6701 Airport Blvd Ste C138, Mobile, AL 36608-3784
Phone: 2513333333

DR. RUSSELL F KELLY (NPI# 1841219789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841219789
Entity Type Individual
Full Name DR. RUSSELL F KELLY
Credential MD
Practice Address 6701 Airport Blvd Ste C138
Mobile
AL 36608-3784
Mailing Address 126 Medical Dr
Palestine
TX 75801-8506
Practice Telephone 2513333333
Practice Fax Number 2514104444
Mailing Telephone 9037310509
Mailing Fax Number 9037233064
Enumeration Date 2006-07-19
Last Update Date 2019-04-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
R1973 TX Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
036-082186 IL Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
36353 AL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1901 W Harrison St, Room 3620, Chicago, IL 606123714 3128643034 3128649349

Other Providers RUSSELL KELLY

NPI Name Taxonomy Address Enumeration
1790787729 Russell S Kelly Internal Medicine 91-2139 Fort Weaver Rd, Suite 300, Ewa Beach, HI 96706-3607 2005-08-10
1285882977 Russell A. Kelly Dentist 951 N Tustin St, Orange, CA 92867-5902 2008-09-05
1346430428 Russell James Kelly Specialist/Technologist 550 S College Ave, Newark, DE 19713-1302 2007-07-26
1043316532 Russell Aaron Kelly Physician Assistant 103 Myron St, Suite A, West Springfield, MA 01089-1598 2006-09-15

Office Location

Street Address 6701 AIRPORT BLVD STE C138
City MOBILE
State AL
Zip Code 36608-3784

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083892285 Darryl Steven Morin Internal Medicine 6701 Airport Blvd Ste C138, Mobile, AL 36608-3784 2008-02-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475524 Grantham Dental, Inc. Dentist 3620 Springhill Memorial Drive South, Mobile, AL 36608 2020-10-21
1114540879 Dearrius Hines Home Health Aide 1370 Lucerne Dr, Mobile, AL 36608 2020-05-28
1558980409 Rachel Stevens Registered Nurse 8507 Tanner Williams Rd, Mobile, AL 36608 2020-04-10
1073170700 Usa Health Physician Billing Services LLC Otolaryngology 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 2019-05-29
1952885600 Franklin Primary Health Center Inc. Dentist 990 Cody Rd North, Mobile, AL 36608 2018-09-19
1114410040 Zackary Elkins Optometrist 105 W I65 Service Rd N, Mobile, AL 36608 2018-06-14
1023562865 Covenant Hospice, Inc. Internal Medicine 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 2016-08-10
1730575416 Rayven Likely Student in an Organized Health Care Education/Training Program 1014 Centerwood Dr, Mobile, AL 36608 2015-04-09
1598040461 Robert S Harlin Specialist 75 Clarise Circle, Mobile, AL 36608 2011-10-11
1972884948 Heidi Michelle Mcdermott Physical Therapist 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 2011-09-06
Find all providers in zip 36608

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700136728 Farnoosh Rahimi Internal Medicine 2451 Fillingim St Bldg C, Mobile, AL 36617 2012-09-17
1831344217 Dennis Raymond Thomas Internal Medicine 3101 Riviere Du Chien Loop E, Mobile, AL 36693-5408 2008-11-26
1164462321 Kenneth M Burnham Internal Medicine 3715 Dauphin St Ste 4400, Mobile, AL 36608-1727 2006-06-07
1023057197 William James Hayes Internal Medicine 6600 Wall St, Mobile, AL 36695-4512 2006-06-05
1891742821 Stephanie Diane Grosz Internal Medicine 600 Providence Park Dr E, Mobile, AL 36695-4616 2006-05-27
1730132556 Mina Ayad Jacob Internal Medicine 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 2006-05-19
1588109599 Citrin Cardiology PC Internal Medicine 6701 Airport Blvd, Suite C138, Mobile, AL 36608-3784 2016-12-29
1073973160 University of South Alabama Internal Medicine 2451 Fillingim St, Bldg. C, Mobile, AL 36617-2238 2016-03-02
1124385927 Chad Warren Mcree Internal Medicine 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 2012-04-18
1871869990 Jordan Michael Chaisson Internal Medicine 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 2012-03-23
Find all providers in MOBILE

Competitor

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City MOBILE
Zip Code 36608

Improve Information

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Dataset Information

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.

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