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Organization

PHYSICIANS' SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL KLOSTER MD (MEDICAL DIRECTOR)
(913) 384-9600
Entity
Organization

Contact information

Practice address
3840 W 75TH ST, PRAIRIE VILLAGE, KS 66208-4126
(913) 384-9600
(913) 384-9646
Mailing address
3840 W 75TH ST, PRAIRIE VILLAGE, KS 66208-4126
(913) 384-9600
(913) 384-9646

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S046015
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100396530A
KS
01
17C0001047
DEPT OF HEALTH & HUMAN SE
KS
01
27008
COVENTRY HEALTHCARE OF KS
KS
01
55156
HUMANA
KS
01
90910016
BLUE CROSS BLUE SHIELD
Enumeration date
07/12/2005
Last updated
05/07/2026
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