KATHLEEN RUSSO, M.D.
Pediatric Adolescent Medicine Physician · SALISBURY, NC
Individual Active Opted out of Medicare NPI 1558452532
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | ✓ | 9700384 | NC |
| Pediatric Dermatology Physician | 207NP0225X | 9700384 | NC | |
| Child Abuse Pediatrics Physician | 2080C0008X | 9700384 | NC | |
| Pediatrics Physician | 208000000X | 9700384 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Opted out of Medicare (Pediatric Medicine), effective 2015-12-28 through 2027-12-28.
Other Pediatric Adolescent Medicine Physician providers in North Carolina
- NPI 1619075470
- NPI 1649361601
- NPI 1871605303
- NPI 1861590606
- NPI 1528168275
- NPI 1194816132
- NPI 1598862732
- NPI 1013008036
See all Pediatric Adolescent Medicine Physician providers in North Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.