Provider First Line Business Practice Location Address:
3901 RAINBOW BLVD., MAILSTOP 4015
Provider Second Line Business Practice Location Address:
UNIVERSITY OF KANSAS MEDICAL CENTER-PSYCHIATRY
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:
913-588-6400
Provider Business Practice Location Address Fax Number:
913-588-6414
Provider Enumeration Date:
05/10/2013