Provider Demographics
NPI:1104078385
Name:PINKHAM, CHRIS MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:MICHAEL
Last Name:PINKHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8301 N HARBOUR PL
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-4313
Mailing Address - Country:US
Mailing Address - Phone:816-584-8934
Mailing Address - Fax:816-584-8933
Practice Address - Street 1:8301 N HARBOUR PL
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-4313
Practice Address - Country:US
Practice Address - Phone:816-584-8934
Practice Address - Fax:816-584-8933
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-19
Last Update Date:2008-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR4P48207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine