Provider First Line Business Practice Location Address:
3901 RAINBOW BLVD
Provider Second Line Business Practice Location Address:
STE G400 KU HOSPITAL MAIL STOP 4040
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:
913-588-2371
Provider Business Practice Location Address Fax Number:
913-588-2385
Provider Enumeration Date:
11/07/2006