Provider First Line Business Practice Location Address:
MEDICAL OFFICE BUILDING 2000 OLATHE BLVD
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:
66160-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-1908
Provider Business Practice Location Address Fax Number:
913-588-8387
Provider Enumeration Date:
03/29/2018