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KIDZLIFE PEDIATRICS
NPI 1164508198
Pediatrics in Prospect, KY

Active since October 31, 2006
10639 MEETING STREET, SUITE 101, PROSPECT, KY 40059(502) 425-7827(502) 412-3979 Get Directions Write a Review

NPPES record last updated: March 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kidzlife Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDZLIFE PEDIATRICS (NPI 1164508198) is a healthcare organization registered as a pediatrics in Prospect, Kentucky and active in the NPI registry since October 2006. The organization lists Stephanie M. Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1164508198
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSTEPHANIE M. RUSSELL MD PSC
Location Address10639 MEETING STREET, SUITE 101Prospect, KY 40059-7544
Mailing Address10639 Meeting Street, Suite 101Prospect, KY 40059-7544 · (502) 425-7827 · Fax (502) 412-3979
Phone(502) 425-7827
Fax(502) 412-3979
Organization SubpartNo
Authorized OfficialStephanie M. RussellOwner · (502) 425-7827
Enumeration DateOctober 31, 2006
Last NPPES UpdateMarch 11, 2010
✔ NPI 1164508198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
10639 MEETING STREET, Prospect, KY 40059
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Other Names 1

Doing Business AsKidzlife Pediatrics

Other Identifiers 2

Medicaid200314560AIN
Medicare PIN1840701KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE M RUSSELL MD
Pediatrics
10639 MEETING STREET, SUITE 101
LOUISVILLE, KY 40059
Jefferson County (502) 425-7827

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie M. Russell MD Psc's NPI number?

The NPI number for Stephanie M. Russell MD Psc is 1164508198. It was assigned to this organization in the NPPES registry on October 31, 2006. The provider is doing business as Kidzlife Pediatrics.

Where is Stephanie M. Russell MD Psc located?

Stephanie M. Russell MD Psc is located at 10639 Meeting Street Suite 101, Prospect, KY 40059. The listed phone number is (502) 425-7827.

What is Stephanie M. Russell MD Psc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Stephanie M. Russell MD Psc was last updated on March 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.