Individual
DR. CHARLES SCOTT ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
113921
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138660001
—
AR
05
—
208918201
—
MO
01
—
81697
AR BLUE SHIELD #
MO
Enumeration date
02/12/2007
Last updated
10/21/2014
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