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

MR. KENNETH ROYAL RUSSELL JR., DPH

Active

MR. KENNETH ROYAL RUSSELL JR., DPH is a Pharmacist healthcare provider located in SCOTT AFB, Illinois. NPI 1285719799 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SCOTT AFB, IL

Registration Details

NPI Number
1285719799
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2006 (19.760219426656 yrs)
Last Updated
Apr 19, 2018
License
10399 (OK)

Practice Information

Address
310 W LOSEY ST
SCOTT AFB, IL, 622255250
Browse IL providers · Browse ZIP 62225
Phone
6182567345
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in SCOTT AFB, IL

Name Credential NPI
MR. SEAN J MCNAMARA RPH. 1023009222
DR. DEREK J SPETEN MS, PHARM D 1407838956
DR. KAREN S. FRALEY PHARM D 1326061276
DR. PAUL T. MICHAUD PHARMD, MS 1083795793
MRS. JOLENE R NORRIS PHARMACIST 1750469771
MRS. SUSAN KILIAN GRAUL RPH 1518180793
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.