Individual
PAUL J CHRISTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 3016, KANSAS CITY, KS 66103-2937
(913) 588-6152
(913) 588-0603
Mailing address
3901 RAINBOW BLVD, MAIL STOP 3016, KANSAS CITY, KS 66103-2937
(913) 588-6152
(913) 588-0603
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35078926C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0433726
MEDICAL LICENSE
KS
05
—
1841250370
—
MO
05
—
200623690A
—
KS
01
—
2009010040
MEDICAL LICENSE
MO
01
—
305747
AUA PERSONAL ID NUMBER
—
01
—
35078926C
STATE MEDIAL LICENSE NUMB
OH
01
—
43078011
BLUE CROSS
—
01
—
483155
FAMILY HEALTH PARTNERS
—
01
—
50372
COTLGEN NUMBER BARD
—
01
—
H30788
NATIONAL PROVIDER IDENTIF
—
01
—
P00779235
RAIL ROAD MEDICARE
—
Enumeration date
03/27/2006
Last updated
03/07/2023
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