KEVIN LEIGH RUSSELL

PORTSMOUTH, VA
NPI1558592675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2009-08-06
Last Update Date2009-08-06
Business Address
-- KEVIN LEIGH RUSSELL
MSRON-6 BLDG 15, NORFOLK NAVAL SHIPYARD
PORTSMOUTH, VA 23709
Phone number: 757-967-4177
Mailing Address
-- KEVIN LEIGH RUSSELL
MSRON-6 BLDG 15, NORFOLK NAVAL SHIPYARD
PORTSMOUTH, VA 23709
Phone number: 757-967-4177