Individual
JOHANN ANTON LUCKHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 765-6600
(816) 767-4107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-42335
KS
208000000X
Pediatrics Physician
Primary
2019025548
MO
Other
Enumeration date
04/07/2016
Last updated
06/08/2020
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