Individual
CHRIS W CRAEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(847) 797-0528
(855) 748-6239
Mailing address
8550 MARSHALL DR, STE 220 ADMINISTRATION, LENEXA, KS 66214-1505
(913) 495-2000
(913) 495-3715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-23329
KS
207Q00000X
Family Medicine Physician
R4C99
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00790344
RR MEDICARE
KS
Enumeration date
07/27/2006
Last updated
01/31/2018
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