# SURGICENTER OF KANSAS CITY, LLC

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

## Provider details

- **NPI number:** 1912993833
- **Authorized official:** DAVID MCKNIGHT (VP/CFO)
- **Authorized official phone:** (972) 789-2816

## Contact information

- **Practice address:** 701 E 101ST TERRACE, KANSAS CITY, MO 64131-4271
- **Practice address phone:** (816) 523-0100
- **Practice address fax:** (816) 995-3162
- **Mailing address:** 701 E 101ST TER, KANSAS CITY, MO 64131-4271
- **Mailing address phone:** (816) 523-0100
- **Mailing address fax:** (816) 995-3162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 90-7 | MO | Yes |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 09/08/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 501627103 | — | MO |
