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NPI Code Detail

MEDICARE: CHRISTOPHER R BLUE MD

MEDICARE:   CHRISTOPHER R BLUE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0205XPediatric Endocrinology Physician0432699KS
22080P0205XPediatric Endocrinology Physician2007014000MO

General Provider Information

NPI Number : 1639210552
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER R BLUE MD
Provider Business Mailing Address
First Line : 2401 GILLHAM RD
Second Line : ATTN PROVIDER ENROLLMENT DEPT
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-701-5200
Fax Number : 816-302-9939
Provider Business Practice Location Address
First Line : 3243 E MURDOCK ST
Second Line : SUITE 201
City : WICHITA
State : KS
Zip : 67208-3052
Country : US
Telephone Number : 316-500-8900
Fax Number : 816-302-9939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 12/05/2025

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Directions to “ CHRISTOPHER R BLUE MD” Practice Location

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