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Individual
DR. TERRENCE K MCKELLAR
Active
Individual
DR. TERRENCE K MCKELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004887
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10144
MISSOURI BLUE CROSS BLUE
MO
01
—
122805
HEALTHLINK
MO
01
—
16626
GROUP HEALTH PLAN
MO
01
—
4397546
AETNA
MO
01
—
4450049
UNITED HEALTHCARE
MO
Enumeration date
02/14/2007
Last updated
07/08/2007
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