NPI 1346980075 · live from the CMS NPI Registry
Tyler Robert Blackwell, MD
Pediatrics, Pediatric Emergency Medicine in Kansas City, MO. National Provider Identifier 1346980075, active.
NPI record
| NPI | 1346980075 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 2301 Holmes St, Kansas City, MO 64108 |
| Practice phone | 816-404-1000 |
| Mailing address | 2401 Gillham Rd, Provider Enrollment Dept, Kansas City, MO 64108 |
| Enumerated | March 30, 2022 |
| Last updated | December 5, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | 2024024850 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.