Organization
ASSOCIATED PLASTIC SURGEONS PA
Active
Other names
Associated Plastic Surgeons, PA
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LISA G JACKSON (CREDENTIALING COORDINATOR)
(913) 451-3722
Entity
Organization
Contact information
Practice address
11501 GRANADA ST, LEAWOOD, KS 66211-1454
(913) 451-3722
(913) 451-5000
Mailing address
11501 GRANADA ST, LEAWOOD, KS 66211-1454
(913) 451-3722
(913) 451-5000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP7309
RAILROAD MEDICARE
—
Enumeration date
07/18/2005
Last updated
02/12/2025
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