Organization
FT SCOTT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY J GRAVES (ACCOUNTANT)
(816) 729-5602
Entity
Organization
Contact information
Practice address
918 HIGHWAY 69, FORT SCOTT, KS 66701-8885
(620) 223-0200
Mailing address
11184 ANTIOCH RD STE 356, OVERLAND PARK, KS 66210-2420
(913) 787-6724
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
12/23/2022
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