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

Kirk Shane Russell is a Vascular & Interventional Radiology Physician based in Fort Liberty, NC and is specialized in Vascular & Interventional Radiology. Kirk Shane Russell practices in Fort Liberty, 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 Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, NC and can be reached out via phone at 910-907-8707 and via fax at 910-907-8707.

Location: Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, NC, 28310-0001
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
Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, NC, 28310-0001
Phone Number
910-907-8707
Fax Number
910-907-8707
Provider Enumeration Date
12/01/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912075631 05 NC
institution
Provider Business Practice Location Address Details
Address
Womack Army Medical Center 2817 Rock Merritt Ave
City
Fort Liberty
State
North Carolina
Zip
28310-6644
Phone Number
910-907-8707
Fax Number
910-907-8707
person
Provider Business Mailing Address Details
Address
Womack Army Medical Center 2817 Rock Merritt Ave
City
Fort Liberty
State
North Carolina
Zip
28310-6644
Phone Number
910-907-8707
Fax Number
910-907-8707
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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