Individual
KENNETH CARL RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7885 ANNANDALE AVE, DESERT HOT SPRINGS, CA 92240-1419
(760) 329-2924
Mailing address
36917 COOK ST STE 103, PALM DESERT, CA 92211-6072
(760) 835-0425
(760) 416-6843
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
A48224
CA
Other
Enumeration date
07/17/2006
Last updated
12/15/2025
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