Healthcare Provider Details

I. General information

NPI: 1275926198
Provider Name (Legal Business Name): ST. LUKE'S HOSPITAL OF KANSAS CITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2015
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2529 GLENN HENDREN DR SUITE G30
LIBERTY MO
64068-9607
US

IV. Provider business mailing address

2529 GLENN HENDREN DR SUITE G30
LIBERTY MO
64068-9607
US

V. Phone/Fax

Practice location:
  • Phone: 816-454-1658
  • Fax:
Mailing address:
  • Phone: 816-454-1658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number87-57
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number87-57
License Number StateMO

VIII. Authorized Official

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