KYLE RUSSELL DO – NPI #1437645611
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

KYLE RUSSELL is a physician located in LILLINGTON, NC. NPPES has assigned the NPI number 1437645611 to KYLE RUSSELL on July 10, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 4 years ago on Jul 07, 2022. 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 KYLE RUSSELL below.

NPI Profile for
KYLE RUSSELL

NPI Number
1437645611
Enumeration Date

(about 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KYLE RUSSELL
Credentials
DO
Primary location
129 T.T. LANIER ST
LILLINGTON, NC 27546
Phone: (910) 893-1560 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 28, 2022

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
208000000X
- Pediatrics (Primary)
NC 2021-02106

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.