Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY T CHAMPION, MD
Active Sole ProprietorSports Medicine (Emergency) · PRAIRIE VILLAGE, KS
Registration Details
- NPI Number
- 1760779722
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2011 (14.857055871965 yrs)
- Last Updated
- Dec 11, 2025
- Licenses
-
50228 (AZ)50228 (AZ)2020013466 (MO)0439896 (KS)1 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7400 STATE LINE RD STE 100PRAIRIE VILLAGE, KS, 662083447Browse KS providers · Browse ZIP 66208
- Phone
- 9135886600
- Fax
- 9135886655
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
- Additional Specialty
- Sports Medicine (Emergency)
- Additional Specialty
- Sports Medicine (Emergency)
- Additional Specialty
- Ophthalmology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.