# BLUE VALLEY ASC, P.A.

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

## Provider details

- **NPI number:** 1407294986
- **Authorized official:** TRAVIS S FOXX MD (PRESIDENT/OWNER)
- **Authorized official phone:** (913) 626-4633

## Contact information

- **Practice address:** 12800 METCALF AVENUE SUITE 2, OVERLAND PARK, KS 66213
- **Practice address phone:** (913) 626-4633
- **Mailing address:** 12800 METCALF AVE STE 2, OVERLAND PARK, KS 66213-2607
- **Mailing address phone:** (913) 626-4633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 4722856 | KS | Yes |

## Other

- **Enumeration date:** 06/06/2013
- **Last updated:** 06/06/2013
