Provider Demographics
NPI:1164630521
Name:KANSAS CITY SURGICAL ASSISTING, INC.
Entity Type:Organization
Organization Name:KANSAS CITY SURGICAL ASSISTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:FREY
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:816-304-7107
Mailing Address - Street 1:18100 E 215TH ST
Mailing Address - Street 2:
Mailing Address - City:PECULIAR
Mailing Address - State:MO
Mailing Address - Zip Code:64078-9200
Mailing Address - Country:US
Mailing Address - Phone:816-304-7107
Mailing Address - Fax:816-380-6529
Practice Address - Street 1:18100 E 215TH ST
Practice Address - Street 2:
Practice Address - City:PECULIAR
Practice Address - State:MO
Practice Address - Zip Code:64078-9200
Practice Address - Country:US
Practice Address - Phone:816-304-7107
Practice Address - Fax:816-380-6529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO146414163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty