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

Kimberly Lynn Russell, PA-C

Individual provider Physician Assistant · NPI 1649746025

Kimberly Lynn Russell, PA-C is a Physician Assistant in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-9148
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MPA.3061 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 3061 (SC)

Record details

NPI number1649746025
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 23, 2018
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

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