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Organization
KU MEDWEST AMBULATORY SURGERY CENTER, LLC
Active
Organization
KU MEDWEST AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JASNOSKI (DIRECTOR OF ASC OPERATIONS)
(913) 574-1794
Entity
Organization
Contact information
Practice address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-8411
(913) 588-8432
Mailing address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-8411
(913) 588-8432
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S-046-011
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100458080A
—
KS
Enumeration date
06/13/2005
Last updated
05/21/2025
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