Organization
NEUROSURGERY OF SOUTH KANSAS CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A CLOUGH M.D. (PRESIDENT)
(816) 942-0200
Entity
Organization
Contact information
Practice address
5340 COLLEGE BLVD, OVERLAND PARK, KS 66211-1621
(816) 942-0200
(816) 942-0205
Mailing address
10310 STATE LINE RD STE A, LEAWOOD, KS 66206-2695
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
12/13/2012
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