Individual
CHRISTOPHER MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-44522
KS
208000000X
Pediatrics Physician
Primary
2018011352
MO
208000000X
Pediatrics Physician
4301107517
MI
2080P0202X
Pediatric Cardiology Physician
04-44522
KS
2080P0202X
Pediatric Cardiology Physician
Primary
2018011352
MO
Other
Enumeration date
05/21/2015
Last updated
03/14/2026
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