Individual
CHRISTOPHER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4510 FREDERICK AVE, SAINT JOSEPH, MO 64506-3238
(816) 364-9992
Mailing address
3705 N 139TH ST, KANSAS CITY, KS 66109-4234
(913) 721-3641
(913) 721-3649
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
152132
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16566
PREFERRED HEALTH SYSTEMS
KS
01
—
1797
COMMUNITY HEALTH PLAN
MO
05
—
200538010A
—
KS
01
—
2609/023
BLUE CROSS BLUE SHIELD KANSAS CITY
MO
01
—
66048A018
TRICARE WPS
—
05
—
913879607
—
MO
01
—
P00430894
RAILROAD MEDICARE
KS
01
—
P00435048
RAILROAD MEDICARE
MO
Enumeration date
03/24/2006
Last updated
10/15/2025
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