Provider First Line Business Practice Location Address:
3901 RAINBOW BLVD # MS 5003
Provider Second Line Business Practice Location Address:
UNIV OF KANSAS MED CTR HEMATOLOGY/ONCOLOGY FELLOWSHIP
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66160-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-0348
Provider Business Practice Location Address Fax Number:
913-588-4085
Provider Enumeration Date:
07/06/2012