Provider Demographics
NPI:1265492375
Name:RUSSELL, KAREN BULLOCK (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:BULLOCK
Last Name:RUSSELL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1775 ONE HEALING PL
Mailing Address - Street 2:TMH PHYSICIAN PARTNERS, CANCER & HEMATOLOGY
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4600
Mailing Address - Country:US
Mailing Address - Phone:850-431-5360
Mailing Address - Fax:850-431-5367
Practice Address - Street 1:1775 ONE HEALING PL
Practice Address - Street 2:TMH PHYSICIAN PARTNERS, CANCER & HEMATOLOGY
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4600
Practice Address - Country:US
Practice Address - Phone:850-431-5360
Practice Address - Fax:850-431-5367
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2015-05-06
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Provider Licenses
StateLicense IDTaxonomies
VA0101235467207R00000X, 207RH0003X
FLME122150207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine