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

Kenneth Ray Russell

Individual provider Peer Specialist · NPI 1053067074

Kenneth Ray Russell is a Peer Specialist in Louisa, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2022

Practice location Address checks out

125 S Main Cross St Ste 202
Louisa, KY 41230-1065
Phone: (606) 638-0938
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (KY)

Record details

NPI number1053067074
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 28, 2022
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022
Mailing address125 S Main Cross St Ste 202, Louisa, KY 41230-1065

Other providers in Louisa