KEVIN LEIGH RUSSELL


Address: Msron-6, Bldg 15, Norfolk Naval Shipyard, Portsmouth, VA 23709
Phone: 7579674177

KEVIN LEIGH RUSSELL (NPI# 1558592675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558592675
Entity Type Individual
Full Name KEVIN LEIGH RUSSELL
Practice Address Msron-6
Bldg 15, Norfolk Naval Shipyard
Portsmouth
VA 23709
Practice Telephone 7579674177
Mailing Telephone 7579674177
Enumeration Date 2009-08-06
Last Update Date 2009-08-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

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Office Location

Street Address MSRON-6
BLDG 15, NORFOLK NAVAL SHIPYARD
City PORTSMOUTH
State VA
Zip Code 23709

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356818314 Kevin W Campbell Dentist Norfolk Naval Shipyard Bld 277, Portsmouth, VA 23709 2018-10-29
1093019853 Jeffrey Wilcox Military Health Care Provider Bldg 1575 Norfolk Naval Shipyard, Maritime Expeditionary Support Group Two, Portsmouth, VA 23709 2011-01-07
1861600389 Christopher Robin Maurer Military Health Care Provider Ncws 4, Ibu 41, Nnsy Bldg 11, Portsmouth, VA 23709 2007-05-18
1609080589 Luis Alexander Glinton Military Health Care Provider Norfolk Naval Shipyard, Bldg 15, Portsmouth, VA 23709 2007-05-09
1760694368 Hosea Smith Jr. Military Health Care Provider Naval Coastal Warfare Squadron Four, Nnsy Bldg 11 Rm 103, Portsmouth, VA 23709 2007-05-04
1043281249 Nekeia Remoan Roberson Dental Hygienist Bldg. 277 Code 100d, Naval Medical Center Portsmouth - N, Portsmouth, VA 23709 2006-01-27
1295270189 Grace Salerno Dental Hygienist Code J-1001 Building 277, Norfolk Naval Shipyard Branch Dental Clinic, Portsmouth, VA 23709-1001 2016-12-30
1144479213 Jay Hays Mcdowell Sr. Military Health Care Provider Bhc Nnsy, Bldg 277, Portsmouth, VA 23709-1001 2008-09-15
1245201060 Carol Jean Kessler Pharmacist Scott Center Annex, Norfolk Naval Shipyard, Building 1572, Portsmouth, VA 23709-1515 2006-01-30
1356533731 Teresa A Kirkland Military Health Care Provider Code 100 M, Building 277, Portsmouth, VA 23709-5000 2007-08-09
Find all providers in zip 23709

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy 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.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073941811 Aaron Pines Military Health Care Provider 264 Tigerlilly Dr, Portsmouth, VA 23701-2727 2013-10-14
1558658757 Gary James Sweet Military Health Care Provider 1 Ayres Circle, Bldg. H-1, Pnsy, Naval Branch Health Clinic, Portsmouth, NH 03804 2011-07-08
1093019853 Jeffrey Wilcox Military Health Care Provider Bldg 1575 Norfolk Naval Shipyard, Maritime Expeditionary Support Group Two, Portsmouth, VA 23709 2011-01-07
1144479213 Jay Hays Mcdowell Sr. Military Health Care Provider Bhc Nnsy, Bldg 277, Portsmouth, VA 23709-1001 2008-09-15
1356533731 Teresa A Kirkland Military Health Care Provider Code 100 M, Building 277, Portsmouth, VA 23709-5000 2007-08-09
1326242215 Thomas Michael Kaptur Military Health Care Provider Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 2007-06-13
1861600389 Christopher Robin Maurer Military Health Care Provider Ncws 4, Ibu 41, Nnsy Bldg 11, Portsmouth, VA 23709 2007-05-18
1588879779 Ralph Allen Rowe Jr. Military Health Care Provider Mobile Security Squadron Six, Nnsy Bld 15, Portsmouth, VA 23709-5000 2007-05-11
1609080589 Luis Alexander Glinton Military Health Care Provider Norfolk Naval Shipyard, Bldg 15, Portsmouth, VA 23709 2007-05-09
1760694368 Hosea Smith Jr. Military Health Care Provider Naval Coastal Warfare Squadron Four, Nnsy Bldg 11 Rm 103, Portsmouth, VA 23709 2007-05-04
Find all providers in PORTSMOUTH

Competitor

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City PORTSMOUTH
Zip Code 23709

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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