Provider First Line Business Practice Location Address:
3901 RAINBOW BLVD
Provider Second Line Business Practice Location Address:
THE UNIVERISTY OF KANSAS MEDICAL CENTER, MS 2013
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:
913-588-6340
Provider Business Practice Location Address Fax Number:
913-588-2245
Provider Enumeration Date:
08/09/2005