Blue Ridge Surgical Center, LLC
NPI #1023010311 in Kansas City, Missouri
Provider Information
- NPI Number
- 1023010311
- Entity Type
- Organization
- Organization Name
- Blue Ridge Surgical Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 1, 2005
- Last Updated
- Nov 3, 2022
Practice Location
- Address
- 4240 BLUE RIDGE BLVD
- Address 2
- STE 950
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64133-1755
- Phone
- (816) 358-9990
Authorized Official
- Name
- JENNIFER BOYD BALDOCK
- Title
- OFFICER AND AUTHORIZED OFFICIAL
- Phone
- (615) 234-5954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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