Individual provider · Type 1 NPI

Kristen Russo, PA-C

Surgical Physician Assistant · Louisville, KY

NPI number 1699542704 Active

Practice location

4000 Kresge Way
Louisville, KY 40207-4605

Call (502) 897-8100 Map

Mailing address

1115 Mallard Creek Rd
Louisville, KY 40207-5841

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

188 other providers at this address

Other surgical physician assistant providers in Louisville

See all in Louisville →

About NPI 1699542704

Kristen Russo, PA-C's National Provider Identifier is 1699542704, issued on Dec 8, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Louisville, KY. The record was last updated on Dec 8, 2023.