# APOLLO MEDICAL GROUP OF LEAWOOD LLC

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

## Provider details

- **NPI number:** 1881353621
- **Authorized official:** ROBIN VAN SPRUNDEL (DIRECTOR OF ADMINISTRATION)
- **Authorized official phone:** (941) 725-1198

## Contact information

- **Practice address:** 4940 W 137TH ST STE A, OVERLAND PARK, KS 66224-3633
- **Practice address phone:** (866) 888-8510
- **Mailing address:** PO BOX 4156, SPRINGFIELD, IL 62708-4156
- **Mailing address phone:** (866) 888-8510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 12/09/2021
- **Last updated:** 04/05/2023