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

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: July 19, 2026.

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
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

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.

Internal Medicine
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL,RM3CB39
FORT CAMPBELL, KY 42223
Family Medicine
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY 42223
Audiologist
650 JOEL DR
FORT CAMPBELL, KY 42223
Nurse Practitioner (Family)
650 JOEL DR
FORT CAMPBELL, KY 42223
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Family Medicine
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY 42223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487895330, enumerated as an "individual" on March 23, 2009.

The provider is located at 650 JOEL DR FORT CAMPBELL, KY 42223 and the phone number is (270) 412-6016.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.