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Organization
SAINT LUKES PHYSICIAN GROUP INC
Active
Organization
SAINT LUKES PHYSICIAN GROUP INC
Active
Parent organization
SAINT LUKES PHYSICIAN GROUP INC
Other names
Saint Lukes Convenient Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT LUKES PHYSICIAN GROUP INC
Authorized official
JULIE MURPHY (CFO)
(816) 599-9563
Entity
Organization
Contact information
Practice address
8501 W 95TH ST, OVERLAND PARK, KS 66212-3220
(913) 323-8880
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8782
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
NULL
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110403
MEDICARE PIN
KS
01
—
B940000
MEDICARE PIN
MO
01
—
G930000
MEDICARE PIN
KS
01
—
H720000
PIN
MO
Enumeration date
09/21/2020
Last updated
09/25/2020
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