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KELSEY RUSSO
NPI 1467993626
Student in an Organized Health Care Education/Training Program in Lake Ariel, PA

Active since March 20, 2017
2362 TANGLEWOOD LANE, LAKE ARIEL, PA 18436(570) 862-8842 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelsey Russo NPPES

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

KELSEY RUSSO (NPI 1467993626) is an individual student in an organized health care education/training program in Lake Ariel, Pennsylvania and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1467993626
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELSEY RUSSO
Location Address2362 TANGLEWOOD LANELake Ariel, PA 18436
Mailing Address2362 Tanglewood LaneLake Ariel, PA 18436
Phone(570) 862-8842
Sole ProprietorYes
Enumeration DateMarch 20, 2017
✔ NPI 1467993626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 2255A2300 (PA)
2362 TANGLEWOOD LANE, Lake Ariel, PA 18436
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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 Kelsey Russo's NPI number?

The NPI number for Kelsey Russo is 1467993626. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Kelsey Russo located?

Kelsey Russo practices at 2362 Tanglewood Lane, Lake Ariel, PA 18436. The listed phone number is (570) 862-8842.

What is Kelsey Russo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelsey Russo was last updated on March 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.