Provider First Line Business Practice Location Address:
KANSAS UNIVERSITY MEDICAL CENTER DEPARTMENT
Provider Second Line Business Practice Location Address:
3599 RAINBOW BLVD., MAILSTOP 2012
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:
913-588-6970
Provider Business Practice Location Address Fax Number:
913-588-6970
Provider Enumeration Date:
04/02/2014