Individual
DR. LUKE GILDO MIRABELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD # MS 1060, KANSAS CITY, KS 66160-8500
(913) 588-5276
(913) 588-3974
Mailing address
3901 RAINBOW BLVD # MS 1060, KANSAS CITY, KS 66160-8500
(913) 588-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13848425-1205
UT
2084P0800X
Psychiatry Physician
2023025341
MO
2084P0800X
Psychiatry Physician
94-09805
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023025341
MISSOURI STATE BOARD OF REGISTRATION FOR THE HEALING ARTS
MO
01
—
94-09805
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
03/21/2019
Last updated
03/17/2025
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