Organization
NEW LIBERTY HOSPITAL COPORATION
Active
Other names
Liberty Hospital Primary Care Shoal Creek
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FEESS (PRESIDENT AND CEO)
(816) 781-7200
Entity
Organization
Contact information
Practice address
8380 N TULLIS AVE, SUITE 300, KANSAS CITY, MO 64158
(816) 415-3451
Mailing address
PO BOX 219672, KANSAS CITY, MO 64121-9672
(816) 407-4555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57333017
BCBS
MO
Enumeration date
06/22/2017
Last updated
04/19/2018
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