Individual
CRISTINA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22883
NE
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
04-30816
KS
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
2019035259
MO
Other
Enumeration date
08/20/2006
Last updated
03/24/2026
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