KENNETH J RUSSELL NPI 1851477509

NPI Information

NPI: 1851477509
Provider Name: KENNETH J RUSSELL
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
SEATTLE CANCER CARE ALLIANCE
825 EASTLAKE AVENUE EAST
SEATTLE, WA
ZIP 98109
Phone: (206) 288-1012
Get Directions

Kenneth J Russell is a radiation oncology radiology in Seattle, WA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Kenneth J Russell NPI is 1851477509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

SEATTLE CANCER CARE ALLIANCE
825 EASTLAKE AVENUE EAST
SEATTLE, WA
ZIP 98109
Phone: (206) 288-1012

The enumeration date for this NPI number is 10/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	MD00023196	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1009968	MEDICAID	WASHINGTON
2	104652	MEDICARE ID-TYPE UNSPECIFIED
3	7017	OTHER		INTERNAL ID-MOTOR VEHICLE ID
4	A05535	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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