Organization
NOVAMED EYE SURGERY CENTER OF OVERLAND PARK, LLC
Active
Other names
Novamed Eye Surgery Center OP
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
5520 COLLEGE BLVD, OVERLAND PARK, KS 66211-1630
(913) 491-3040
Mailing address
12239 COLLECTIONS CENTER DRIVE, CHICAGO, IL 60693-0122
(913) 906-6570
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
10/13/2020
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