NPI 1922046317 · live from the CMS NPI Registry
Christine M Boutwell, M.D.
Psychiatry & Neurology, Neurology in Kansas City, MO. National Provider Identifier 1922046317, active.
NPI record
| NPI | 1922046317 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 4400 Broadway, Suite 520, Kansas City, MO 64111 |
| Practice phone | 816-531-4080 |
| Mailing address | 901 E 104th St, Mailstop 400, Kansas City, MO 64131 |
| Enumerated | June 4, 2006 |
| Last updated | November 15, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 04-28664 (KS) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 103475 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.