# COLLEGE PARK ENDOSCOPY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** College Park Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629510326
- **Authorized official:** DAVID MCKNIGHT (VP/CFO)
- **Authorized official phone:** (972) 789-2816

## Contact information

- **Practice address:** 10787 NALL AVE, SUITE 100, OVERLAND PARK, KS 66211-1375
- **Practice address phone:** (913) 652-9255
- **Mailing address:** 10787 NALL AVE STE 100, OVERLAND PARK, KS 66211-1373
- **Mailing address phone:** (913) 385-4400
- **Mailing address fax:** (913) 385-4450

## Taxonomy

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

## Other

- **Enumeration date:** 11/11/2016
- **Last updated:** 10/08/2026