Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renny Beau Russell, DC

Individual provider Chiropractor · NPI 1003905456

Renny Beau Russell, DC is a Chiropractic in Pleasant Valley, Missouri. Graduated from Cleveland Chiropractic College - Kansas City in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Missouri and Oklahoma.

Years since qualifying
22
Trained at
Cleveland Chiropractic College - Kansas City
Licensed in
MO, OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

6624 Royal St
Pleasant Valley, MO 64068-8711
Phone: (816) 824-9690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2008015663 (MO)
Chiropractor Taxonomy 111N00000X · Licence 3841 (OK)

Record details

NPI number1003905456
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolCLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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