Individual
DR. CHRISTINE M BOUTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4400 BROADWAY, SUITE 520, KANSAS CITY, MO 64111-3342
(816) 531-4080
(816) 531-0281
Mailing address
901 E 104TH ST, MAILSTOP 400, KANSAS CITY, MO 64131
(816) 599-9499
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-28664
KS
2084N0400X
Neurology Physician
Primary
103475
MO
Other
Enumeration date
06/04/2006
Last updated
11/15/2017
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