Dr. Kerry Bruce Russell
Chiropractic Sports Physician
692 Hannah Ave Suite A
Traverse City
, Michigan 49686-3110
Dr. Kerry Bruce Russell
Chiropractic Sports Physician
692 Hannah Ave Suite A
Traverse City
, Michigan 49686-3110
(231) 947-2616
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Kerry Bruce Russell
- 692 Hannah Ave Suite A
- Traverse City, MI
- Zip : 49686-3110
- Fax : (231) 947-2616
- Phone : (231) 947-2228
Second Address
- Dr. Kerry Bruce Russell
- 692 Hannah Ave Suite A
- Traverse City, MI
- Zip : 49686-3110
- Fax : (231) 947-2616
- Phone : (231) 947-2228
Reviews
FAQs
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Where is Dr. Kerry Bruce Russell ’s practice located?
What is Dr. Kerry Bruce Russell ’s gender?
Is Dr. Kerry Bruce Russell a sole practitioner?
Is Dr. Kerry Bruce Russell accepting new patients?
What languages does Dr. Kerry Bruce Russell speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | KR007665 | MI |
National Provider Identifier
| NPI | 1093714222 |
|---|---|
| Provider Name | Dr. Kerry Bruce Russell |
| First Address | Traverse City, MI 49686-3110 |
| Second Address | Traverse City, MI 49686-3110 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 09/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 15934 | MCARE (01) | MI |
| 4417133 | (05) | MI |
| 611406599 | PPOM (01) | MI |
| 950B850440 | BCBSM PPO (01) | MI |
| P99464 | BLUE CARE NETWORK (01) | MI |
| U72489 | (02) | MI |
| U72489 | PRIORITY HEALTH (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.