Provider Demographics
NPI:1235132622
Name:ZIELINSKI, CHRISTOPHER F (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:F
Last Name:ZIELINSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8550 MARSHALL DR STE 220
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1505
Mailing Address - Country:US
Mailing Address - Phone:816-246-0200
Mailing Address - Fax:913-495-3730
Practice Address - Street 1:1741 NE DOUGLAS ST STE 200
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-4704
Practice Address - Country:US
Practice Address - Phone:816-246-0200
Practice Address - Fax:913-495-3730
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-37036207Q00000X
MO2018036669207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSG93000042Medicare PIN
MIG75933Medicare UPIN
MI0P22390001Medicare PIN