Individual
CHARLEY ATKISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2790 CLAY EDWARDS DR STE 650, N KANSAS CITY, MO 64116-3279
(816) 459-7500
Mailing address
2790 CLAY EDWARDS DR STE 650, KANSAS CITY, MO 64116-3279
(816) 459-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02451
KS
363A00000X
Physician Assistant
Primary
2019026732
MO
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
04/14/2026
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