DENNIS ALLEN RUSSELL
NPI 1487895330
Military Health Care Provider - Independent Duty Corpsman in Fort Campbell, KY

Q: What is Dennis Russell's NPI number?

The NPI number for Dennis Russell is 1487895330. It was assigned to this individual provider in the NPPES registry on March 23, 2009.

Q: What is Dennis Russell's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Dennis Russell was last updated on March 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2009

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 412-6016(270) 412-9062 Get Directions Write a Review

NPPES record last updated: March 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dennis Allen Russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENNIS ALLEN RUSSELL (NPI 1487895330) is an individual independent duty corpsman provider in Fort Campbell, Kentucky and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1487895330

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameDENNIS ALLEN RUSSELL

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 412-6016 · Fax (270) 412-9062

Phone(270) 412-6016

Fax(270) 412-9062

Sole ProprietorNo

Enumeration DateMarch 23, 2009

✔ NPI 1487895330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

650 JOEL DR, Fort Campbell, KY 42223

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA RENEE CORDELL RN

Registered Nurse