Provider Demographics
NPI:1932281714
Name:ECKLAND, CHRISTOPHER CULLEN (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CULLEN
Last Name:ECKLAND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2861 NE INDEPENDENCE AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-2379
Mailing Address - Country:US
Mailing Address - Phone:816-525-2840
Mailing Address - Fax:816-525-2841
Practice Address - Street 1:4940 W 137TH ST STE B
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66224-3633
Practice Address - Country:US
Practice Address - Phone:913-232-9846
Practice Address - Fax:913-232-9817
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-33190207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200564420AMedicaid
KS033D00064Medicare PIN