Provider Demographics
NPI:1629016704
Name:KAFKA, CHRISTOPHER L (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:L
Last Name:KAFKA
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 1:5501 NW 62ND TER STE 100
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-2412
Mailing Address - Country:US
Mailing Address - Phone:816-842-4440
Mailing Address - Fax:816-842-1974
Practice Address - Street 1:5501 NW 62ND TER STE 100
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-2412
Practice Address - Country:US
Practice Address - Phone:816-842-4440
Practice Address - Fax:816-842-1974
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7H87207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3732654OtherAETNA KUMW UC
4129736OtherAETNA PIC HILLS UC
39415017OtherBCBS WW URGENT CARE
14295016OtherBCBS CFC
18960020OtherBCBS CREEKWOOD UC
2057248OtherAETNA CFC
22039026OtherBCBS PIC HILLS UC
25562039OtherBCBS KUMW UC
481159444OtherJAYHAWK TAX ID
157695XXOtherPREFERRED CARE OF NY
MOF88000007OtherMEDICARE PTAN
18960020OtherBCBS CREEKWOOD UC
MO080153526Medicare ID - Type UnspecifiedRR MEDICARE
MOJ610287Medicare PIN
481159444OtherJAYHAWK TAX ID
39415017OtherBCBS WW URGENT CARE