Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH CARL RUSS, M.D.
Active Sole ProprietorKENNETH CARL RUSS, M.D. is a Addiction Medicine (Family Practice) healthcare provider located in DESERT HOT SPRINGS, California. NPI 1245258235 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · DESERT HOT SPRINGS, CA
Registration Details
- NPI Number
- 1245258235
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.121386843683 yrs)
- Last Updated
- Dec 15, 2025
- License
-
A48224 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7885 ANNANDALE AVEDESERT HOT SPRINGS, CA, 922401419Browse CA providers · Browse ZIP 92240
- Phone
- 7603292924
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
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.