Renny Beau Russell
Chiropractor
9205 Ne Highway 152
Kansas City
, Missouri 64158-7608
Renny Beau Russell
Chiropractor
9205 Ne Highway 152
Kansas City
, Missouri 64158-7608
(918) 850-8908
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Renny Beau Russell
- 8028 E 1st St
- Tulsa, OK
- Zip : 74112-2130
- Phone : (918) 850-8908
Second Address
- Renny Beau Russell
- 9205 Ne Highway 152
- Kansas City, MO
- Zip : 64158-7608
- Fax : (816) 781-2092
- Phone : (816) 781-2090
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2008015663 | MO |
| N | 111N00000X | Chiropractor | 3841 | OK |
National Provider Identifier
| NPI | 1003905456 |
|---|---|
| Provider Name | Renny Beau Russell |
| First Address | Tulsa, OK 74112-2130 |
| Second Address | Kansas City, MO 64158-7608 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 02/04/2009 |
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.