Organization
KU MEDWEST AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JASNOSKI (DIRECTOR OF ASC OPERATIONS)
(913) 574-1794
Entity
Organization
Contact information
Practice address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-8411
(913) 588-8432
Mailing address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-8411
(913) 588-8432
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S-046-011
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100458080A
—
KS
Enumeration date
06/13/2005
Last updated
05/21/2025
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