Individual
DR. RUSSEL THOMAS MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8355 NW BARRYBROOKE DR, KANSAS CITY, MO 64151-1024
(816) 741-0018
(816) 741-0659
Mailing address
6036 W 51ST ST, MISSION, KS 66202-1729
(913) 220-6365
(816) 741-0659
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2008003129
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39742013
BCBS
MO
Enumeration date
04/01/2009
Last updated
04/01/2009
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