Provider First Line Business Practice Location Address:
5844 NW BARRY RD STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64154-1483
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-932-7900
Provider Business Practice Location Address Fax Number:
816-472-0038
Provider Enumeration Date:
01/23/2024