IndividualActive
Kenneth Russell, NAVY SOIDC
NPI 1639661192 · Independent Duty Corpsman · Camp Lejeune, NC
Kenneth Russell, NAVY SOIDC is a Independent Duty Corpsman provider in Camp Lejeune, NC (NPI 1639661192).
Provider details
- NPI number
- 1639661192
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- NAVY SOIDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3d Marine Raider Battalion
Camp Lejeune, NC 28546
Phone: (360) 808-1590
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Maren Cv Apt 102
Sneads Ferry, NC 28460-0080
Registry dates
- Enumerated
- 2018-05-31
- Last updated
- 2018-05-31
Frequently asked questions
- What is Kenneth Russell's NPI number?
- Kenneth Russell's National Provider Identifier (NPI) is 1639661192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Russell's specialty?
- Kenneth Russell is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Kenneth Russell located?
- Kenneth Russell's practice location on file with NPPES is 3d Marine Raider Battalion, Camp Lejeune, NC 28546.
- What is Kenneth Russell's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Russell is (360) 808-1590.
- Is Kenneth Russell's NPI active?
- Yes — Kenneth Russell's NPI (1639661192) is active in the NPPES registry as of the last update on 2018-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.