MS. KIMBERLY ANNE RUSSELL PA-C
NPI 1932209558
Physician Assistant - Medical in Oklahoma City, OK

Active since September 24, 2006
VAMC 921 NE 13TH STREET, 2A-137, OKLAHOMA CITY, OK 73104(405) 456-3896(405) 456-1504 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2021, Nov 1, 2019 (2 updates tracked since 2019).

About Ms. Kimberly Anne Russell Pa-c NPPES

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

MS. KIMBERLY ANNE RUSSELL PA-C (NPI 1932209558) is an individual medical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (744) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1932209558
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. KIMBERLY ANNE RUSSELLCredential: PA-C
Location AddressVAMC 921 NE 13TH STREET, 2A-137Oklahoma City, OK 73104
Mailing Address921 Ne 13th St # 2a-133Oklahoma City, OK 73104-5007 · (405) 456-4367 · Fax (405) 456-1504
Fax(405) 456-1504
Sole ProprietorNo
Enumeration DateSeptember 24, 2006
Last NPPES UpdateOctober 6, 20212 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
NPI 1932209558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OK · 744
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA744 (OK)
VAMC 921 NE 13TH STREET, Oklahoma City, OK 73104

Other Names 1

Former Name (1)Mrs. Kimberly Anne Just Pc-a

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Russell's NPI number?

The NPI number for Kimberly Russell is 1932209558. It was assigned to this individual provider in the NPPES registry on September 24, 2006. The provider is also known as Mrs. Kimberly Anne Just Pc-A.

Where is Kimberly Russell located?

Kimberly Russell practices at Vamc 921 NE 13th Street 2a-137, Oklahoma City, OK 73104. The listed phone number is (405) 456-3896.

What is Kimberly Russell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kimberly Russell was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.