NPI 1205752557

Keundreiah Russell

Practitioner Dental Hygienist Apo, AA

Practice location

Address: 590 Medical Center Road, Apo, AA 76544-5060
Phone: (601) 812-7916

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X

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Registry record

NPI: 1205752557
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2026
Record last updated: 29 Jun 2026

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.