Dr. Kathryn Joy Russell
Procedural Dermatology Pediatric Dermatologist MOHS-Micrographic Surgeon
2235 Venetian Court Suite 1
Naples
, Florida 34109
Dr. Kathryn Joy Russell
Procedural Dermatology Pediatric Dermatologist MOHS-Micrographic Surgeon
2235 Venetian Court Suite 1
Naples
, Florida 34109
(239) 596-9466
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About
Features
Specialties
- MOHS-Micrographic Surgeon
- Pediatric Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Kathryn Joy Russell
- 2235 Venetian Court Suite 1
- Naples, FL
- Zip : 34109
- Fax : (239) 596-9466
- Phone : (239) 596-9337
Second Address
- Dr. Kathryn Joy Russell
- 2235 Venetian Court Suite 1
- Naples, FL
- Zip : 34109
- Phone : (619) 543-6268
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 115577 | FL |
| N | 207NP0225X | Pediatric Dermatologist | 115577 | FL |
| N | 207NS0135X | Procedural Dermatology | 115577 | FL |
National Provider Identifier
| NPI | 1184950313 |
|---|---|
| Provider Name | Dr. Kathryn Joy Russell |
| First Address | Naples, FL 34109 |
| Second Address | Naples, FL 34109 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/10/2009 |
| Last Update Date | 28/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1558371195 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.