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

Dr. Kirk Shane Russell, MD

Individual provider Diagnostic Radiology Physician · NPI 1912075631

Dr. Kirk Shane Russell, MD is a Diagnostic Radiology Physician in Fort Liberty, North Carolina. Licensed in North Carolina and New York. Registered with an NPI since 2006.

Licensed in
NC, NY
In the registry since
2006
Specialties on file
3
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

Womack Army Medical Center 2817 Rock Merritt Ave
Fort Liberty, NC 28310-6644
Phone: (910) 907-8707
Fax: (910) 907-8707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 2014-02064 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 230324 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2014-02064 (NC)

Record details

NPI number1912075631
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

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