Provider Demographics
NPI:1841250370
Name:CHRISTENSON, PAUL J (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:CHRISTENSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:MAIL STOP 3016
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-2937
Mailing Address - Country:US
Mailing Address - Phone:913-588-6152
Mailing Address - Fax:913-588-0603
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MAIL STOP 3016
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-2937
Practice Address - Country:US
Practice Address - Phone:913-588-6152
Practice Address - Fax:913-588-0603
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35078926C208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH35078926COtherSTATE MEDIAL LICENSE NUMB
KS200623690AMedicaid
50372OtherCOTLGEN NUMBER BARD
H30788OtherNATIONAL PROVIDER IDENTIF
KS0433726OtherMEDICAL LICENSE
305747OtherAUA PERSONAL ID NUMBER
P00779235OtherRAIL ROAD MEDICARE
MO1841250370Medicaid
483155OtherFAMILY HEALTH PARTNERS
MO2009010040OtherMEDICAL LICENSE
43078011OtherBLUE CROSS
43078011OtherBLUE CROSS
483155OtherFAMILY HEALTH PARTNERS