Provider Demographics
NPI:1285754317
Name:ST LUKES HOSPITAL OF KANSAS CITY
Entity type:Organization
Organization Name:ST LUKES HOSPITAL OF KANSAS CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VP, SAINT LUKE'S HOSPITAL
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:THORPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-932-2000
Mailing Address - Street 1:PO BOX 930841
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64193-0001
Mailing Address - Country:US
Mailing Address - Phone:816-932-3013
Mailing Address - Fax:816-932-6211
Practice Address - Street 1:12300 METCALF AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1324
Practice Address - Country:US
Practice Address - Phone:816-931-3013
Practice Address - Fax:816-932-6211
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. LUKES HOSPITAL OF KANSAS CTIY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-30
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSF060000AMedicare ID - Type Unspecified