Healthcare Provider Details

I. General information

NPI: 1134566409
Provider Name (Legal Business Name): ST LUKES HOSPITAL OF KANSAS CITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2013
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 WORNALL RD SUITE 128
KANSAS CITY MO
64111-5941
US

IV. Provider business mailing address

4320 WORNALL RD STE 128
KANSAS CITY MO
64111-5949
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-2188
  • Fax:
Mailing address:
  • Phone: 816-932-2188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2017004573
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: AMY M NACHTIGAL
Title or Position: CFO
Credential:
Phone: 816-932-2000