IndividualActive
Kathryn Russell, MD
NPI 1750518049 · Pediatric Surgery Physician · Philadelphia, PA
Provider details
- NPI number
- 1750518049
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT207856 (PA)
Practice location
3401 Civic Center Blvd
Division of Pediatric Surgery
Philadelphia, PA 19104-4319
Phone: (215) 590-1190
Mailing address
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Registry dates
- Enumerated
- 2009-06-15
- Last updated
- 2021-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.