Organization
WICHITA ORTHOPAEDIC ASC LLC
Active
Other names
Surgery Center of Kansas
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
7550 WEST VILLAGE CIRCLE, SUITE B, WICHITA, KS 67205
(316) 838-8388
(316) 838-2999
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S087006
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100304010
—
KS
Enumeration date
02/02/2006
Last updated
11/23/2022
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