Provider First Line Business Practice Location Address: 
UNIVERSITY OF KANSAS HOSPITAL 4000 CAMBRIDGE ST.
    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: 
66160
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
573-884-1606
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
07/06/2020