Healthcare Provider Details

I. General information

NPI: 1104711068
Provider Name (Legal Business Name): KANSAS CITY SURGICAL TREATMENT CENTRE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16801 W 116TH ST
LENEXA KS
66219-9603
US

IV. Provider business mailing address

9711 SUNSET CIR
LENEXA KS
66220-3726
US

V. Phone/Fax

Practice location:
  • Phone: 913-884-7653
  • Fax: 913-203-4352
Mailing address:
  • Phone: 913-221-5376
  • Fax: 913-351-3009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PREM PARMAR
Title or Position: OWNER & PHYSICIAN
Credential: MD
Phone: 913-221-5376