Look up the most recent NPI and PECOS records

St Lukes Hospital Of Kansas City

Physical Medicine & Rehabilitation

Allopathic & Osteopathic Physicians

4400 Broadway St, Kansas City, MO 64111-3498

PECOS Enrollment

Based on the most recent information from CMS, provider St Lukes Hospital Of Kansas City does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1598886285
Provider Type
Organization
Full Name
St Lukes Hospital Of Kansas City

Subpart
Yes
Enumeration Date
4/2/2007
Last Updated
4/8/2009

Contact Information

Practice Location

4400 Broadway St, Kansas City, MO 64111-3498

(816) 931-3013

Unlisted Fax

Mailing Location

PO Box 930841, Kansas City, MO 64193-0001

(816) 931-3013

Unlisted Fax

Authorized Official

Johnson, Jama L (Cfo)

(816) 932-2000

Provider Taxonomies

Code	Description	License
Code 208100000X Primary	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207V00000X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License Unlisted Issuer

St Lukes Hospital Of Kansas City

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Probasco, Kathleen Ann

Lee, Christopher

Hermes, Lisa Marie

Martinez, Matthew Casey

Fotopoulos, Constantine Lan

Eichenauer, Stefan

Poecker, Kimberly Jo

Kelly, Charles R