Provider First Line Business Practice Location Address:
DEPT OF FAMILY MEDICINE K U MEDICAL CTR
Provider Second Line Business Practice Location Address:
MAIL STOP 4010, 3901 RAINBOW BLVD.
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66160-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-1944
Provider Business Practice Location Address Fax Number:
913-588-2496
Provider Enumeration Date:
06/15/2007