OrganizationActive
South Kansas City Surgical Center, Lc
NPI 1114924685 · Ambulatory Surgical Clinic/Center · Overland Park, KS
Provider details
- NPI number
- 1114924685
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christine Blackburn, Administrator(913) 901-9000
- License
- S046019 (KS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
10730 Nall Ave
Suite 100
Overland Park, KS 66211-1206
Phone: (913) 901-9000
Fax: (913) 901-9030
Approximate (ZIP-level) locationGet directions
Mailing address
10730 Nall Ave
Overland Park, KS 66211-1206
Other names (DBA / former)
- Doing business as
- South Kansas City Surgicenter
- Doing business as
- South Kansas City Surgicenter
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2021-07-30
- Certified
- 2021-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.