Provider First Line Business Practice Location Address:
8929 PARALLEL PARWAY
Provider Second Line Business Practice Location Address:
PROVIDENCE MEDICAL CENTER-REHABILITATION DEPARTMENT
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-596-5143
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2007