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General NPI Number Information
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NPI Number | 1073787511
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Entity Type | Organization
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Legal Business Name | ST LUKE HOSPITALS, INC
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 7388 TURFWAY RD STE. 206
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City | FLORENCE
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State | KY
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Zip | 41042-1381
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Country | US
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Telephone | 859-212-4893
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Fax | 859-212-4899
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Provider Business Mailing Address
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Address Line | 3200 BURNET AVE 1 RIDGEWAY
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City | CINCINNATI
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State | OH
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Zip | 45229-3019
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Country | US
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Telephone | 513-585-9009
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Fax | 513-585-9373
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Authorized Official
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Title or Position | VP FINANCIAL OPERATIONS
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Name | KYLE TAYLOR
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Credential |
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Telephone | 513-585-8494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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