Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kimberly Tanis Russell, MD

Individual provider Family Medicine Physician · NPI 1720130305

Dr. Kimberly Tanis Russell, MD is a Family Medicine Physician in Fort Cavazos, Texas. Licensed in Pennsylvania and Texas. Registered with an NPI since 2007.

Licensed in
PA, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

36065 Sante Fe Ave
Fort Cavazos, TX 76544-5044
Phone: (254) 288-8932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N0422 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD069021L (PA)

Record details

NPI number1720130305
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 17, 2007
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

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