Provider First Line Business Practice Location Address:
800 N LOCUST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKFORT
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66427-1230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-562-2311
Provider Business Practice Location Address Fax Number:
785-562-2348
Provider Enumeration Date:
05/02/2011