I cross-referenced my pcap to ensure I was looking at the reINVITE and see:
Jun 16 15:01:29 xxxxxxxxxxxxx /usr/sbin/kamailio[643]: DEBUG: rr [loose.c:785]: after_loose(): Topmost route URI: 'sip:xx.xxx.x.xx;lr;r2=on;ftag=a30a720a;did=b75.65a1;nat=yes' is me
Jun 16 15:01:29 xxxxxxxxxxxxx /usr/sbin/kamailio[643]: DEBUG: <core> [socket_info.c:583]: grep_sock_info(): grep_sock_info - checking if host==us: 11==11 && [xx.xxx.x.xx] == [xx.xxx.x.xx]
Jun 16 15:01:29 xxxxxxxxxxxxx /usr/sbin/kamailio[643]: DEBUG: <core> [socket_info.c:587]: grep_sock_info(): grep_sock_info - checking if port 5060 (advertise 0) matches port 5061
Jun 16 15:01:29 xxxxxxxxxxxxx /usr/sbin/kamailio[643]: DEBUG: <core> [socket_info.c:583]: grep_sock_info(): grep_sock_info - checking if host==us: 11==11 && [xx.xxx.x.xx] == [xx.xxx.x.xx]
Jun 16 15:01:29 xxxxxxxxxxxxx /usr/sbin/kamailio[643]: DEBUG: <core> [socket_info.c:587]: grep_sock_info(): grep_sock_info - checking if port 5070 (advertise 0) matches port 5061
Jun 16 15:01:29 xxxxxxxxxxxxx /usr/sbin/kamailio[643]: DEBUG: <core> [socket_info.c:583]: grep_sock_info(): grep_sock_info - checking if host==us: 11==11 && [xx.xxx.x.xx] == [xx.xxx.x.xx]
Jun 16 15:01:29 xxxxxxxxxxxxx /usr/sbin/kamailio[643]: DEBUG: <core> [socket_info.c:587]: grep_sock_info(): grep_sock_info - checking if port 5090 (advertise 0) matches port 5061
Jun 16 15:01:29 xxxxxxxxxxxxx /usr/sbin/kamailio[643]: DEBUG: <core> [socket_info.c:583]: grep_sock_info(): grep_sock_info - checking if host==us: 11==11 && [xx.xxx.x.xx] == [xx.xxx.x.xx]
Jun 16 15:01:29 xxxxxxxxxxxxx /usr/sbin/kamailio[643]: DEBUG: <core> [socket_info.c:587]: grep_sock_info(): grep_sock_info - checking if port 5061 (advertise 0) matches port 5061
Jun 16 15:01:29 xxxxxxxxxxxxx /usr/sbin/kamailio[643]: DEBUG: <core> [parser/msg_parser.c:106]: get_hdr_field(): found end of header
Jun 16 15:01:29 xxxxxxxxxxxxx /usr/sbin/kamailio[643]: DEBUG: rr [loose.c:181]: find_next_route(): No next Route HF found
Jun 16 15:01:29 xxxxxxxxxxxxx /usr/sbin/kamailio[643]: DEBUG: rr [loose.c:847]: after_loose(): no next URI found