Organization
SAINT LUKE'S HOSPITAL MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J THORPE (VICE PRESIDENT)
(816) 932-3503
Entity
Organization
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-3503
(816) 932-5990
Mailing address
PO BOX 504552, SAINT LOUIS, MO 63150-0001
(913) 234-1697
(913) 234-1116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
LC0830995
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39122011
BCBS OF KANSAS CITY MO
—
01
—
DG5646
RR MEDICARE
—
Enumeration date
09/11/2007
Last updated
04/08/2008
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