Healthcare Provider Details

I. General information

NPI: 1649188020
Provider Name (Legal Business Name): ASSOCIATED PLASTIC SURGEONS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 MCBAINE DRIVE SUITE 102
LEES SUMMIT MO
64064
US

IV. Provider business mailing address

11501 GRANADA ST
LEAWOOD KS
66211-1454
US

V. Phone/Fax

Practice location:
  • Phone: 913-451-3722
  • Fax: 913-451-5000
Mailing address:
  • Phone: 913-451-3722
  • Fax: 913-451-5000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SHERYL L YOUNG
Title or Position: PHYSICIAN PARTNER
Credential:
Phone: 913-451-3722