Individual
DR. JAMES LEROY CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
209 W 7TH ST, COFFEYVILLE, KS 67337-4903
(620) 251-1100
(620) 251-7466
Mailing address
PO BOX 564, COFFEYVILLE, KS 67337-0564
(620) 251-1100
(620) 251-7466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-19197
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009707
BLUE CROSS BLUE SHIELD
KS
Enumeration date
01/06/2006
Last updated
01/16/2008
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