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Kenneth Russell, NAVY SOIDC
NPI 1639661192 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3d Marine Raider Battalion
Camp Lejeune, NC 28546 - Phone
- (360) 808-1590
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Sex
- Male
- Record last updated
- 2018-05-31
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina