Individual
DR. CHARLES L WEINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 BROADWAY, SUITE 520, KANSAS CITY, MO 64111-3342
(816) 531-4080
(816) 531-0281
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-7117
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-15070
KS
2084N0400X
Neurology Physician
Primary
R5981
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04424005
BLUE CROSS BLUE SHIELD
—
05
—
100079260C
—
KS
05
—
100079260D
—
KS
05
—
200362622
—
MO
01
—
4002039
AETNA
—
Enumeration date
06/12/2006
Last updated
11/17/2017
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