Provider Demographics
NPI:1992926406
Name:MCKINNEY, CHRISTOPHER P (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:P
Last Name:MCKINNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 W 110TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1501
Mailing Address - Country:US
Mailing Address - Phone:913-319-8400
Mailing Address - Fax:913-696-0040
Practice Address - Street 1:6650 W 110TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211
Practice Address - Country:US
Practice Address - Phone:913-491-9299
Practice Address - Fax:913-491-3089
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA376782085R0202X
IL036-1158242085R0202X
MO20090115052085R0202X
KS04-337202085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200608480BMedicaid
MOP00961680OtherRR MEDICARE
KSP01001097OtherRR MEDICARE
KS200608480CMedicaid
KSP00961677OtherRR MEDICARE
MOJ96B00011Medicare PIN
KS110527006Medicare PIN
KSP01001097OtherRR MEDICARE
KSP00961677OtherRR MEDICARE
KSJ96A00006Medicare PIN