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Individual

DR. TERRENCE K MCKELLAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1000 FAIRGROUNDS RD, SUITE 101, SAINT CHARLES, MO 63301-2381
(636) 947-4046
(636) 947-6787
Mailing address
1000 FAIRGROUNDS RD, SUITE 101, SAINT CHARLES, MO 63301-2381
(636) 947-4046
(636) 947-6787

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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