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Individual

DR. PATRICK RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1675 MADISON AVE STE 100, KANSAS CITY, MO 64108-1178
(816) 226-7111
Mailing address
1675 MADISON AVE STE 100, KANSAS CITY, MO 64108-1178
(716) 628-1743

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2016034579
MO

Other

Enumeration date
10/26/2016
Last updated
03/17/2026
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