Individual provider · Type 1 NPI

Tyler Robert Blackwell, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Kansas City, MO

NPI number 1346980075 Active

Practice location

2301 Holmes St
Kansas City, MO 64108-2640

Call (816) 404-1000 Map

Mailing address

2401 Gillham Rd, Provider Enrollment Dept
Kansas City, MO 64108-4619

Other practice locations

  • 2401 Gillham Rd, Kansas City, MO 64108-4619 · (816) 234-3000

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X2024024850 (MO)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1346980075

Tyler Robert Blackwell, MD's National Provider Identifier is 1346980075, issued on Mar 30, 2022. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Kansas City, MO. The record was last updated on Dec 5, 2025.