Provider Demographics
NPI:1639210552
Name:BLUE, CHRISTOPHER R (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:R
Last Name:BLUE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:ATTN PROVIDER ENROLLMENT DEPT
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-701-5200
Mailing Address - Fax:816-302-9939
Practice Address - Street 1:3243 E MURDOCK ST
Practice Address - Street 2:SUITE 201
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-3052
Practice Address - Country:US
Practice Address - Phone:316-500-8900
Practice Address - Fax:816-302-9939
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2025-12-05
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Provider Licenses
StateLicense IDTaxonomies
KS04326992080P0205X
MO20070140002080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO152360311Medicare PIN