Individual provider · Type 1 NPI
Kenneth Carl Russ, MD
Addiction Medicine (Family Medicine) Physician · Desert Hot Springs, CA
NPI number
1245258235
Active
Practice location
7885 Annandale Ave
Desert Hot Springs, CA 92240-1419
Mailing address
36917 Cook St Ste 103
Palm Desert, CA 92211-6072
Other practice locations
- 36917 Cook St Ste 103, Palm Desert, CA 92211-6072 · (760) 835-0425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | A48224 (CA) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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About NPI 1245258235
Kenneth Carl Russ, MD's National Provider Identifier is 1245258235, issued on Jul 17, 2006. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Desert Hot Springs, CA. The record was last updated on Jul 20, 2026.