Organization · Type 2 NPI

Saint Lukes Physician Group Inc

Clinic/Center · Kansas City, MO

NPI number 1902476187 Active

Practice location

901 E 104th St, Mailstop 3000E
Kansas City, MO 64131-4517

Call (816) 502-7000 Map

Mailing address

PO Box 504938
St. Louis, MO 63150-4938

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Clinic/Center Primary	261Q00000X	None listed
Nurse Practitioner	363L00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

17 other providers at this address

Other clinic/center providers in Kansas City

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NPI record

NPI: 1902476187
Entity type: Organization (Type 2)
Issued: Jun 29, 2021
Last updated: Jul 28, 2021
Status: Active
Subpart: Yes of Saint Lukes Physician Group Inc

Other names

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Saint Lukes Primary Care at Home · other name
Saint Lukes Primary Care at Home · other name

Authorized official

Julie Murphy
CFO
(816) 599-9563

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902476187

Saint Lukes Physician Group Inc's National Provider Identifier is 1902476187, issued on Jun 29, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 28, 2021.