Kevin Clay Christian, D.O.

Surgery in Joplin, MO. Individual provider (NPI-1).

NPI number1194019968

StatusActive

Last updated in NPPESJan 24, 2023

Details

NPI: 1194019968
Entity type: Individual (NPI-1)
Name: Kevin Clay Christian
Credential: D.O.
Sex: Male
Sole proprietor: No
Enumeration date: Jun 8, 2011
Certification date: Jan 24, 2023
Last updated: Jan 24, 2023

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - GENERAL SURGERY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208600000X	Surgery	2015006389	MO	Yes
208600000X	Surgery	05-47062	KS

Practice location

1020 McIntosh Cir Ste 200
Joplin, MO 64804-3689

Phone 417-347-1111

Mailing address

Po Box 3810
Joplin, MO 64803-3810

Phone 417-347-4662

Other practice locations

3302 McIntosh Cir Ste 1
Joplin, MO 64804-3639

Phone 417-347-7272

1606 N Broadway St
Pittsburg, KS 66762-3022

Phone 620-231-0958

100 N Pine St
Pittsburg, KS 66762-4756

Phone 620-231-9072

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Other Surgery Physician providers in Joplin, MO

All 17 Surgery Physician providers in Joplin · All 3,057 providers in Joplin

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