KIMBERLY T. RUSSELL MD – NPI #1720130305
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

KIMBERLY RUSSELL is a physician located in FORT CAVAZOS, TX. NPPES has assigned the NPI number 1720130305 to KIMBERLY RUSSELL on January 17, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Feb 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIMBERLY RUSSELL below.

NPI Profile for
KIMBERLY T. RUSSELL

NPI Number
1720130305
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KIMBERLY T. RUSSELL
Credentials
MD
Primary location
36065 SANTE FE AVE
FORT CAVAZOS, TX 76544-5044
Phone: (254) 288-8932 Fax:
Mailing address
36065 SANTA FE AVE
FORT CAVAZOS, TX 76544-5060
Phone: (254) 288-8932 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
PA MD069021L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.