Healthcare Provider Details

I. General information

NPI: 1750910469
Provider Name (Legal Business Name): CHRISTINA A. FLERES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2020
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 CLAY EDWARDS DR STE 600
NORTH KANSAS CITY MO
64116-3274
US

IV. Provider business mailing address

9411 N OAK TRFY STE LL1
KANSAS CITY MO
64155-2262
US

V. Phone/Fax

Practice location:
  • Phone: 816-691-5048
  • Fax: 816-346-7039
Mailing address:
  • Phone: 816-691-1655
  • Fax: 913-498-6708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2023028719
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number2023028719
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number2023028719
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: