Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie M. Russell MD PSC

Organization Pediatrics Physician · NPI 1164508198

Stephanie M. Russell MD PSC is a Pediatrics Physician in Prospect, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10639 Meeting St Ste 101
Prospect, KY 40059-7544
Phone: (502) 425-7827
Fax: (502) 412-3979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (KY)
Family Nurse Practitioner Taxonomy 363LF0000X (KY)

Record details

NPI number1164508198
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Russell — Owner · (502) 425-7827
Other names Kidzlife Pediatrics
NPI enumeratedOctober 31, 2006
Last updated in NPPESMarch 11, 2010
Mailing address10639 Meeting Street, Suite 101, Prospect, KY 40059-7544

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