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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY GLENN RUSSELL, M.D.

Active

DR. TIMOTHY GLENN RUSSELL, M.D. is a Diagnostic Radiology healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1073937132 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · FORT CAMPBELL, KY

Registration Details

NPI Number
1073937132
Provider Type
Individual
Gender
Male
NPI Issued
Feb 10, 2014 (12.543296715449 yrs)
Last Updated
Dec 17, 2024
Licenses
28944 (NE)
28048 (MS)

Practice Information

Address
650 JOEL DR
FORT CAMPBELL, KY, 422235318
Browse KY providers · Browse ZIP 42223
Phone
2707988768
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Diagnostic Radiology

Other Diagnostic Radiology Providers in FORT CAMPBELL, KY

Name Credential NPI
MINH KENNEY 1679564751
RASTISLAV OSADSKY MD 1093775520
DR. SCOTT A RABER M.D. 1285691857
RYAN GRIPPO M.D. 1023212503
DR. STEPHEN MICHAEL MELNYK M.D. 1366886731
ADAM RANDALL MOECK 1134515059
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.