MEDICARE: DR. RUSSELL F KELLY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	036-082186	IL
2	207RC0000X	Cardiovascular Disease Physician	R1973	TX
3	207RI0011X	Interventional Cardiology Physician	36353	AL

General Provider Information

NPI Number	:	1841219789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL F KELLY MD

Provider Business Mailing Address
First Line	:	126 MEDICAL DR
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-8506
Country	:	US
Telephone Number	:	903-731-0509
Fax Number	:	903-723-3064

Provider Business Practice Location Address
First Line	:	6701 AIRPORT BLVD STE C138
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-3784
Country	:	US
Telephone Number	:	251-333-3333
Fax Number	:	251-410-4444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	04/17/2019

Similar Medicare Providers

1457460594 — MOBILE MEDICARE
Practice Location Address:

67 WALNUT AVE
CLARK, NJ
07066-1640

Practice Phone: 732-388-7300
Practice Fax: 732-388-1330

1306849575 — DR. SHAWN B CLARK M.D.
Practice Location Address:

6701 AIRPORT BLVD STE D146
MOBILE, AL
36608-3784

Practice Phone: 251-287-2176
Practice Fax: 251-287-2279

1134443740 — MRS. MELANIE AMBERGER CRNP
Practice Location Address:

6701 AIRPORT BLVD STE C132
MOBILE, AL
36608-3784

Practice Phone: 251-631-3501
Practice Fax:

1588109599 — CITRIN CARDIOLOGY PC
Practice Location Address:

6701 AIRPORT BLVD , SUITE C138
MOBILE, AL
36608-3784

Practice Phone: 251-333-3333
Practice Fax: 251-410-4444

1942883384 — KALEIGH HUDSON NP
Practice Location Address:

6701 AIRPORT BLVD STE C138
MOBILE, AL
36608-3784

Practice Phone: 251-333-3333
Practice Fax:

1891798807 — DR. BELIN FRED BODIE MD
Practice Location Address:

4300 OLD SHELL RD , STE B
MOBILE, AL
36608-2036

Practice Phone: 251-342-7880
Practice Fax: 251-342-8369

Directions to “ DR. RUSSELL F KELLY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.