IndividualActive
Dennis Russell
NPI 1487895330 · Independent Duty Corpsman · Fort Campbell, KY
Provider details
- NPI number
- 1487895330
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 412-6016
Fax: (270) 412-9062
Approximate (ZIP-level) locationGet directions
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Registry dates
- Enumerated
- 2009-03-23
- Last updated
- 2009-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.