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General NPI Number Information
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NPI Number | 1588457923
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Entity Type | Organization
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Legal Business Name | ST LUKES HOSPITAL OF KANSAS CITY
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 10920 ELM AVE STE G#1
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City | KANSAS CITY
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State | MO
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Zip | 64134-4108
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Country | US
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Telephone | 816-986-5510
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Fax | 816-251-5362
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Provider Business Mailing Address
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Address Line | 10920 ELM AVE STE G#1
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City | KANSAS CITY
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State | MO
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Zip | 64134-4108
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Country | US
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Telephone | 816-986-5510
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Fax | 816-251-5362
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | AMY NACHTIGAL
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Credential |
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Telephone | 816-932-3318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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