Provider First Line Business Practice Location Address:
2411 HOLMES ST
Provider Second Line Business Practice Location Address:
UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM,M2-302
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64108-2741
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-235-6628
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/13/2008