# AMERICAN SPINE SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1851690515
- **Authorized official:** KHALID A KAHLOON (CEO)
- **Authorized official phone:** (502) 261-7200

## Contact information

- **Practice address:** 1050 KEY PKWY, STE 104, FREDERICK, MD 21702-4053
- **Practice address phone:** (240) 629-3920
- **Practice address fax:** (240) 629-3921
- **Mailing address:** 1050 KEY PKWY STE 202, FREDERICK, MD 21702-4551
- **Mailing address phone:** (240) 629-3920
- **Mailing address fax:** (240) 629-3921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | MDASSC | MD | Yes |

## Other

- **Enumeration date:** 03/21/2011
- **Last updated:** 12/10/2017