Organization
ST LUKE HOSPITAL INC
Active
Other names
ST LUKE PEDIATRIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SOMMERKAMP (DIRECTOR FINANCE)
(859) 572-3100
Entity
Organization
Contact information
Practice address
103 LANDMARK DR STE 360, BELLEVUE, KY 41073-1354
(859) 261-3700
(859) 261-9788
Mailing address
103 LANDMARK DR STE 360, BELLEVUE, KY 41073-1354
(859) 261-3700
(859) 261-9788
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65915621
MD GROUP KENPAC
KY
01
—
78901709
NP GROUP KENPAC
KY
Enumeration date
08/25/2006
Last updated
07/25/2008
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