Organization · Type 2 NPI

College Park Ancillary, LLC

Ambulatory Surgical Clinic/Center · Overland Park, KS

NPI number 1508203241 Active

Practice location

10600 Mastin St
Overland Park, KS 66212-5723

Mailing address

11755 W 112th St, Suite 202
Overland Park, KS 66210-2742

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1508203241

College Park Ancillary, LLC's National Provider Identifier is 1508203241, issued on Jun 3, 2013. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Overland Park, KS. The record was last updated on Jun 4, 2013.