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Individual

RUSSELL RAY SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2900 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3221
(816) 346-7400
(816) 346-7404
Mailing address
9411 N OAK TRFY, SUITE LL1, KANSAS CITY, MO 64155-2233
(816) 436-7072
(816) 436-2743

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00403
MO

Other

Enumeration date
03/26/2007
Last updated
07/08/2007
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