Kenneth Royal Russell Jr., DPH

Pharmacist · Scott Afb, IL

Individual Active NPI

NPI number 1285719799

Practice location

310 W Losey St
Scott Afb, IL 62225-5250
Phone
(618) 256-7345

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NPI record

NPI
1285719799
Entity type
Individual (Type 1)
Enumeration date
October 25, 2006
Last updated
April 19, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 10399 OK

Mailing address

4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529
Phone
(937) 257-9028

About Kenneth Russell

Kenneth Royal Russell Jr., DPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 310 W Losey St, Scott Afb, IL 62225-5250. The NPI number 1285719799 was assigned on October 25, 2006 and the record was last updated on April 19, 2018.

Kenneth Russell lists a license in the registry: #10399 (OK) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Royal Russell Jr., DPH?

The NPI number is 1285719799.

What is the phone number of Kenneth Russell?

The phone number listed for the practice location is (618) 256-7345.

Where is Kenneth Russell located?

310 W Losey St, Scott Afb, IL 62225-5250.

What is the taxonomy code for Kenneth Russell?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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