NPI 1073937132

Timothy Glenn Russell, MD

Practitioner Diagnostic Radiology Physician Fort Campbell, KY

Practice location

Address: 650 Joel Dr, Fort Campbell, KY 42223-5318
Phone: (270) 798-8768
Mailing address: 965 Ridge Lake Blvd STE 315, Memphis, TN 38120-9401

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 28048 (MS)

Other Radiology providers in Kentucky →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 28944 (NE)

Other General Practice providers in Kentucky →

Registry record

NPI: 1073937132
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2014
Record last updated: 17 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.