Individual provider · Type 1 NPI

Keannette Larrelle Perkins Russell, MD

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1003668542 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Call (214) 648-3433 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003668542

Keannette Larrelle Perkins Russell, MD's National Provider Identifier is 1003668542, issued on Apr 5, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Apr 5, 2024.