# KC CHILDRENS SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124522495
- **Authorized official:** DEVIN LARSEN (CEO)
- **Authorized official phone:** (208) 340-1840

## Contact information

- **Practice address:** 7848 STATE AVE, KANSAS CITY, KS 66112-2417
- **Practice address phone:** (717) 759-4378
- **Mailing address:** 9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1213
- **Mailing address phone:** (713) 489-2198
- **Mailing address fax:** (713) 489-2978

## Taxonomy

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

## Other

- **Enumeration date:** 03/21/2018
- **Last updated:** 01/27/2025