Healthcare Provider Details

I. General information

NPI: 1316993074
Provider Name (Legal Business Name): ST. LUKE'S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 WORNALL RD SUITE 336
KANSAS CITY MO
64111-5941
US

IV. Provider business mailing address

PO BOX 931634
KANSAS CITY MO
64193-0001
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-1753
  • Fax: 816-461-6586
Mailing address:
  • Phone: 816-461-8288
  • Fax: 816-461-6586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: LIZ LEVIN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 816-932-6101