Individual provider · Type 1 NPI

Kimberly J. Russert, RNC

Psychiatric/Mental Health Registered Nurse · Canton, OH

NPI number 1275753204 Active

Practice location

625 Cleveland Ave NW
Canton, OH 44702-1805

Fax (330) 455-2101

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN174201 (OH)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1275753204

Kimberly J. Russert, RNC's National Provider Identifier is 1275753204, issued on May 1, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Canton, OH. The record was last updated on Jul 8, 2007.