Provider First Line Business Practice Location Address:
10940 PARALLEL AVE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66109-4431
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-788-5500
Provider Business Practice Location Address Fax Number:
913-788-5501
Provider Enumeration Date:
09/27/2006