Provider Demographics
NPI:1225197957
Name:LENK, CHRISTINA N (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:N
Last Name:LENK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:MAILSTOP 400S
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131
Mailing Address - Country:US
Mailing Address - Phone:816-960-7600
Mailing Address - Fax:
Practice Address - Street 1:4400 BROADWAY BLVD STE 520
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3342
Practice Address - Country:US
Practice Address - Phone:816-960-7600
Practice Address - Fax:636-230-5365
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1036282084N0400X
KS04428102084N0400X
SC395262084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC395263Medicaid
MOG95854Medicare UPIN
SC395263Medicaid
SCSC81417951Medicare PIN