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Organization
SAINT LUKES HOSPITAL GI HOSPITALISTS
Active
Organization
SAINT LUKES HOSPITAL GI HOSPITALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAROL J JACKSON (CREDENTIALIST)
(816) 932-7942
Entity
Organization
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111
(816) 932-2000
Mailing address
4401 WORNALL RD, KANSAS CITY, MO 64111
(816) 932-2000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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