Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENNY BEAU RUSSELL, DC
ActiveRENNY BEAU RUSSELL, DC is a Chiropractor healthcare provider located in PLEASANT VALLEY, Missouri. NPI 1003905456 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · PLEASANT VALLEY, MO
Registration Details
- NPI Number
- 1003905456
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2006 (19.826885101155 yrs)
- Last Updated
- Apr 16, 2024
- Licenses
-
3841 (OK)2008015663 (MO)
Practice Information
- Address
-
6624 ROYAL STPLEASANT VALLEY, MO, 640688711Browse MO providers · Browse ZIP 64068
- Phone
- 8168249690
- Primary Specialty
-
Chiropractor
111N00000X
- Additional Specialty
- Chiropractor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.