Tyler Robert Blackwell, MD
Pediatrics, Pediatric Emergency Medicine in Kansas City, MO. Individual provider (NPI-1).
NPI number1346980075
StatusActive
Last updated in NPPESDec 5, 2025
Details
- NPI
- 1346980075
- Entity type
- Individual (NPI-1)
- Name
- Tyler Robert Blackwell
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2022
- Certification date
- Dec 5, 2025
- Last updated
- Dec 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | 2024024850 | MO | Yes |
Practice location
2301 Holmes StKansas City, MO 64108-2640
Phone 816-404-1000
Mailing address
2401 Gillham RdProvider Enrollment Dept
Kansas City, MO 64108-4619
Phone 816-701-5200 · Fax 816-302-9939
Other practice locations
2401 Gillham Rd
Kansas City, MO 64108-4619
Kansas City, MO 64108-4619
Phone 816-234-3000 · Fax 816-302-9939
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