Healthcare Provider Details

I. General information

NPI: 1871172486
Provider Name (Legal Business Name): ALEX JOSEPH LUKE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 W 39TH AVE
KANSAS CITY KS
66103-2943
US

IV. Provider business mailing address

2060 W 39TH AVE
KANSAS CITY KS
66103-2943
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number04-51346
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: