National Provider Identifier
Kelly Russo
Kelly Russo is listed in the NPPES registry with a primary specialty of Pediatric Nutrition Registered Dietitian in Rochester, NY and a listed phone number of (585) 275-2647.
Profile Overview
- NPI
- 1275495855
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nutrition Registered Dietitian
- Enumeration Date
- December 02, 2025
- Last Updated
- February 06, 2026
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-2647
Mailing Address
- 783 Middlebury RD
- Webster, NY 14580-2681
Specialties
- Pediatric Nutrition Registered Dietitian (133VN1004X)
Full Record
- NPI
- 1275495855
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Kelly
- Mailing Street Address
- 783 Middlebury RD
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-2681
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2647
- Enumeration Date
- December 02, 2025
- Last Updated
- February 06, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 06, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nutrition Registered Dietitian (133VN1004X)