1093714222 Dr. Kerry Bruce Russell, D.C., C.C.S.P.
Sports Physician Chiropractor
Reactivated
Basic Information
- Full Name
- Dr. Kerry Bruce Russell, D.C., C.C.S.P.
- Gender
- Male
- Enumeration Date
- July 19, 2005
- Last Update
- September 9, 2011
- Deactivation Date
- March 20, 2006
- Reactivation Date
- March 24, 2006
Practice Location
- Address
- 692 HANNAH AVE
SUITE A
TRAVERSE CITY, MI 496863110 - Phone
- (231) 947-2228
- Fax
- (231) 947-2616
Mailing Address
- Address
- 692 HANNAH AVE
SUITE A
TRAVERSE CITY, MI 496863110 - Phone
- (231) 947-2228
- Fax
- (231) 947-2616
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Sports Physician Chiropractor Sports Physician | 111NS0005X | Chiropractor | KR007665 | MI | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4417133 | 05 | MI | N/A |
| P99464 | 01 | MI | BLUE CARE NETWORK |
| U72489 | 01 | MI | PRIORITY HEALTH |
| 611406599 | 01 | MI | PPOM |
| 15934 | 01 | MI | MCARE |
| 950B850440 | 01 | MI | BCBSM PPO |
Frequently Asked Questions
What is Dr. Kerry Bruce Russell, D.C., C.C.S.P.'s NPI number?
Dr. Kerry Bruce Russell, D.C., C.C.S.P.'s NPI number is 1093714222.
Which doctor has NPI number 1093714222?
The doctor with NPI number 1093714222 is Dr. Kerry Bruce Russell, D.C., C.C.S.P..
What is Dr. Kerry Bruce Russell, D.C., C.C.S.P.'s practice address?
Dr. Kerry Bruce Russell, D.C., C.C.S.P.'s practice address is 692 HANNAH AVE, SUITE A, TRAVERSE CITY, MI, 496863110.
Which doctor practices at 692 HANNAH AVE, SUITE A, TRAVERSE CITY, MI, 496863110?
Dr. Kerry Bruce Russell, D.C., C.C.S.P. practices at 692 HANNAH AVE, SUITE A, TRAVERSE CITY, MI, 496863110.
What is Dr. Kerry Bruce Russell, D.C., C.C.S.P.'s phone number?
Dr. Kerry Bruce Russell, D.C., C.C.S.P.'s phone number is (231) 947-2228.
Who is (231) 947-2228?
(231) 947-2228 is the phone number for Dr. Kerry Bruce Russell, D.C., C.C.S.P..
What is Dr. Kerry Bruce Russell, D.C., C.C.S.P.'s specialty?
Dr. Kerry Bruce Russell, D.C., C.C.S.P.'s specialty is Sports Physician Chiropractor.
What type of doctor is Dr. Kerry Bruce Russell, D.C., C.C.S.P.?
Dr. Kerry Bruce Russell, D.C., C.C.S.P. is a Sports Physician Chiropractor.
Is Dr. Kerry Bruce Russell, D.C., C.C.S.P. a Sports Physician?
Yes, Dr. Kerry Bruce Russell, D.C., C.C.S.P. is a Sports Physician.
Is Dr. Kerry Bruce Russell, D.C., C.C.S.P. still practicing?
Yes, Dr. Kerry Bruce Russell, D.C., C.C.S.P. has reactivated their practice and is currently practicing.
Is Dr. Kerry Bruce Russell, D.C., C.C.S.P. accepting new patients?
Dr. Kerry Bruce Russell, D.C., C.C.S.P. may be accepting new patients. Please call their office at (231) 947-2228 to inquire about availability.
Is NPI 1093714222 still active?
Yes, NPI 1093714222 has been reactivated and is currently active.
Where does Dr. Kerry Bruce Russell, D.C., C.C.S.P. practice?
Dr. Kerry Bruce Russell, D.C., C.C.S.P. practices in TRAVERSE CITY, MI.
Is Dr. Kerry Bruce Russell, D.C., C.C.S.P. a male or female doctor?
Dr. Kerry Bruce Russell, D.C., C.C.S.P. is a male doctor.