Provider First Line Business Practice Location Address:
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:
66160-3830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-842-3444
Provider Business Practice Location Address Fax Number:
782-842-3410
Provider Enumeration Date:
10/06/2005