Provider First Line Business Practice Location Address:
8040 PARALLEL PKWY STE 112
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:
66112-2072
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-802-2525
Provider Business Practice Location Address Fax Number:
913-802-2525
Provider Enumeration Date:
08/08/2023