# KANSAS CITY VASCULAR SPECIALISTS CORP PA

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

## Provider details

- **NPI number:** 1366026270
- **Authorized official:** YURY GAMPEL (MANAGER)
- **Authorized official phone:** (818) 880-8605

## Contact information

- **Practice address:** 5320 COLLEGE BLVD, OVERLAND PARK, KS 66211-1621
- **Practice address phone:** (913) 529-8600
- **Practice address fax:** (913) 701-3010
- **Mailing address:** 26500 AGOURA RD STE 102-587, CALABASAS, CA 91302-1952
- **Mailing address phone:** (818) 880-8605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2021
- **Last updated:** 05/06/2021