Provider First Line Business Practice Location Address:
400 NW BARRY ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64155
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-468-6006
Provider Business Practice Location Address Fax Number:
816-468-7305
Provider Enumeration Date:
10/10/2006