Provider First Line Business Practice Location Address:
VAMC 4801 E. LINWOOD
Provider Second Line Business Practice Location Address:
MEDICAL SUBSPECIALTY SERVICE (111)
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-922-2475
Provider Business Practice Location Address Fax Number:
816-922-3323
Provider Enumeration Date:
07/21/2006