Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIRK SHANE RUSSELL, M.D.
ActiveDR. KIRK SHANE RUSSELL, M.D. is a Therapeutic Radiology healthcare provider located in FORT LIBERTY, North Carolina. NPI 1912075631 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · FORT LIBERTY, NC
Registration Details
- NPI Number
- 1912075631
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2006 (19.742780351395 yrs)
- Last Updated
- Jan 31, 2025
- Licenses
-
230324 (NY)2014-02064 (NC)2014-02064 (NC)
Practice Information
- Address
-
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVEFORT LIBERTY, NC, 283106644Browse NC providers · Browse ZIP 28310
- Phone
- 9109078707
- Fax
- 9109078707
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Therapeutic Radiology
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.