| Overland Park Surgical Specialties, Llc | |
| 
					15101 Glenwood Ave Stanley KS 66223-3154  | |
| (913) 681-8866 | |
| Not Available | 
| Full Name | Overland Park Surgical Specialties, Llc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 15101 Glenwood Ave, Stanley, Kansas | 
| Authorized Official Name and Position | Chuck Chambers (ADMINISTRATOR) | 
| Authorized Official Contact | 9134690503 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Overland Park Surgical Specialties, Llc Po Box 741331 Atlanta GA 30374-1331 Ph: (913) 469-0503  | Overland Park Surgical Specialties, Llc 15101 Glenwood Ave Stanley KS 66223-3154 Ph: (913) 681-8866  | 
| NPI Number | 1437314838 | 
|---|---|
| Provider Enumeration Date | 07/24/2008 | 
| Last Update Date | 12/07/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437314838 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |