# PRIME SURGICAL ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PSAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598133654
- **Authorized official:** MARICOLE TAYLOR (COO)
- **Authorized official phone:** (816) 916-2295

## Contact information

- **Practice address:** 8321 ALDEN ST, LENEXA, KS 66215-4213
- **Practice address phone:** (816) 916-2295
- **Mailing address:** 8321 ALDEN ST, BOX 5, LENEXA, KS 66215-4213
- **Mailing address phone:** (816) 916-2295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZC0007X | Surgical Assistant | — | NULL | — |
| 246ZC0007X | Surgical Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2015
- **Last updated:** 08/22/2020