Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

New Liberty Hospital Coporation

Organization Nephrology Physician · NPI 1053284190

New Liberty Hospital Coporation provides Nephrology Physician services in Liberty, Missouri. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2521 Glenn Hendren Dr Ste 202
Liberty, MO 64068-3388
Phone: (816) 415-3470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1053284190
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNew Liberty Hospital Coporation
Authorized official John Staton — Chief Operating Officer · (816) 792-7091
NPI enumeratedSeptember 25, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing addressPo Box 219672, Kansas City, MO 64121-9672