# KHS AMBULATORY SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Select Surgical Center at Kennedy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124261771
- **Authorized official:** KRISTEN OCONNOR (AUTHORIZED OFFICIAL / OFFICER)
- **Authorized official phone:** (615) 376-7315

## Contact information

- **Practice address:** 405 HURFFVILLE CROSS KEYS RD, SUITE 210, SEWELL, NJ 08080
- **Practice address phone:** (856) 582-2072
- **Practice address fax:** (856) 582-8073
- **Mailing address:** 405 HURFFVILLE CROSSKEYS RD, STE 210, SEWELL, NJ 08080-9344
- **Mailing address phone:** (856) 582-2072
- **Mailing address fax:** (856) 582-8073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 24339 | NJ | Yes |

## Other

- **Enumeration date:** 04/13/2009
- **Last updated:** 11/08/2024