Provider First Line Business Practice Location Address:
4000 CAMBRIDGE STREET
Provider Second Line Business Practice Location Address:
DEPT. OF EMERGENCY MEDICINE, MAILSTOP 1019
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-6504
Provider Business Practice Location Address Fax Number:
913-588-9104
Provider Enumeration Date:
06/30/2006