Provider Demographics
NPI:1750827986
Name:KANSAS CITY NEUROSURGERY LLC
Entity Type:Organization
Organization Name:KANSAS CITY NEUROSURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:BAMBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-257-6259
Mailing Address - Street 1:10777 NALL AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1362
Mailing Address - Country:US
Mailing Address - Phone:913-257-6259
Mailing Address - Fax:913-563-6699
Practice Address - Street 1:10777 NALL AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1362
Practice Address - Country:US
Practice Address - Phone:913-257-6259
Practice Address - Fax:913-563-6699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty