Individual provider · Type 1 NPI
Renny Beau Russell, DC
Chiropractor · Pleasant Valley, MO
NPI number
1003905456
Active
Practice location
6624 Royal St
Pleasant Valley, MO 64068-8711
Mailing address
8009 NE 105th Ter
Kansas City, MO 64157-9100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 3841 (OK) |
| Chiropractor Primary | 111N00000X | 2008015663 (MO) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
About NPI 1003905456
Renny Beau Russell, DC's National Provider Identifier is 1003905456, issued on Oct 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Pleasant Valley, MO. The record was last updated on Apr 16, 2024.