Individual
DR. CHRISTOPHER JAY EHLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7301 MISSION RD STE 319, PRAIRIE VILLAGE, KS 66208-3006
(913) 513-2880
(913) 600-4350
Mailing address
7301 MISSION RD STE 319, PRAIRIE VILLAGE, KS 66208-3006
(913) 513-2880
(913) 600-4350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0422914
KS
207QA0505X
Adult Medicine Physician
0422914
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100356240C
—
KS
Enumeration date
11/30/2006
Last updated
02/02/2024
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