Provider First Line Business Practice Location Address:
4600 SORTOR DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66104-1253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-797-6645
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/17/2025