Mrs Kathryn Marie Russell, MS, RDN - Dietitian in Canton, MI

Mrs Kathryn Marie Russell, MS, RDN is a Dietitian, Registered based in Canton, Michigan. Mrs Kathryn Marie Russell is licensed to practice in * (Not Available) (license number ) and her current practice location is 2543 Woodmont Dr E, Canton, Michigan. She can be reached at her office (for appointments etc.) via phone at (734) 635-7771.

NPI number for Mrs Kathryn Marie Russell is 1104297555 and her current mailing address is 2543 Woodmont Dr E, Canton, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104297555.

Contact Information

Mrs Kathryn Marie Russell, MS, RDN
2543 Woodmont Dr E,
Canton, MI 48188
(734) 635-7771
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kathryn Marie Russell
GenderFemale
SpecialityDietitian, Registered
Location2543 Woodmont Dr E, Canton, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104297555
  • Provider Enumeration Date: 10/12/2015
  • Last Update Date: 10/12/2015

Medical Identifiers

Medical identifiers for Mrs Kathryn Marie Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104297555NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kathryn Marie Russell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kathryn Marie Russell, MS, RDN
2543 Woodmont Dr E,
Canton, MI 48188

Ph: (734) 635-7771
Mrs Kathryn Marie Russell, MS, RDN
2543 Woodmont Dr E,
Canton, MI 48188

Ph: (734) 635-7771

Reviews and Comments


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