Organization
SOUTH KANSAS CITY SURGICAL CENTER, LC
Active
Other names
South Kansas City Surgicenter
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE BLACKBURN BSN, RN, CNOR (ADMINISTRATOR)
(913) 901-9000
Entity
Organization
Contact information
Practice address
10730 NALL AVE, SUITE 100, OVERLAND PARK, KS 66211-1206
(913) 901-9000
(913) 901-9030
Mailing address
10730 NALL AVE, SUITE 100, OVERLAND PARK, KS 66211-1206
(913) 901-9000
(913) 901-9030
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S046019
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200310690A
—
KS
Enumeration date
06/30/2005
Last updated
07/30/2021
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