Individual
EDMOND V RUSS III
Active
Individual
EDMOND V RUSS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35082471R
OH
2085R0202X
Diagnostic Radiology Physician
Primary
53439
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387297
—
OH
05
—
7100669920
—
KY
01
—
K300750
MEDICARE
KY
Enumeration date
02/08/2006
Last updated
08/07/2026
Update your record
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