Provider Demographics
NPI:1083658066
Name:ST LUKES HOSPITAL OF KANSAS CITY
Entity Type:Organization
Organization Name:ST LUKES HOSPITAL OF KANSAS CITY
Other - Org Name:SAINT LUKE'S HEAD & NECK SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCRIBNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-753-5663
Mailing Address - Street 1:4320 WORNALL RD
Mailing Address - Street 2:SUITE 512
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-5941
Mailing Address - Country:US
Mailing Address - Phone:816-753-5663
Mailing Address - Fax:816-743-4701
Practice Address - Street 1:4320 WORNALL RD
Practice Address - Street 2:SUITE 512
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5941
Practice Address - Country:US
Practice Address - Phone:816-753-5663
Practice Address - Fax:816-753-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOF060000CMedicare PIN