NPI 1487895330

Dennis Allen Russell

Practitioner Independent Duty Corpsman Fort Campbell, KY

Practice location

Address: 650 Joel Dr, Fort Campbell, KY 42223-5318
Phone: (270) 412-6016
Fax: (270) 412-9062

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1487895330
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2009
Record last updated: 23 Mar 2009

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.