Individual
DR. SHANE RANDALL CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7900 LEES SUMMIT ROAD, KANSAS CITY, MO 66139
(816) 404-7500
Mailing address
4822 RIDGEWAY COURT, KANSAS CITY, MO 64133-2451
(816) 353-7669
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R7A51
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
R7A51
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201367224
—
MO
Enumeration date
10/03/2006
Last updated
07/09/2020
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