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Dr. Kirk Shane Russell, MD
Vascular & Interventional Radiology Physician in Sanford, North Carolina
NPI 1912075631

Kirk Shane Russell is a Vascular & Interventional Radiology Physician based in Fayetteville, NC and is specialized in Vascular & Interventional Radiology. Kirk Shane Russell practices in Sanford, NC and has the professional credentials of MD. The NPI Number for Kirk Shane Russell is 1912075631 and holds a License No. 230324 (North Carolina).

The current practice location address for Kirk Shane Russell is 70 Blue Heron Ct, Sanford, NC and can be reached out via phone at 718-807-5166 and via fax at 718-807-5166.

Location: 70 Blue Heron Ct, Sanford, NC, 28304-3978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912075631
Provider Name
Kirk Shane Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
70 Blue Heron Ct, Sanford, NC, 28304-3978
Phone Number
718-807-5166
Fax Number
718-807-5166
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912075631 05 NC
institution
Provider Business Practice Location Address Details
Address
70 Blue Heron Ct
City
Sanford
State
North Carolina
Zip
27332-6644
Phone Number
718-807-5166
Fax Number
718-807-5166
person
Provider Business Mailing Address Details
Address
70 Blue Heron Ct
City
Sanford
State
North Carolina
Zip
27332-6644
Phone Number
718-807-5166
Fax Number
718-807-5166
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
2014-02064 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
230324 (New York)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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