Provider First Line Business Practice Location Address:
3100 NE 83RD ST
Provider Second Line Business Practice Location Address:
SUITE 2500
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64119-4400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-468-6336
Provider Business Practice Location Address Fax Number:
816-468-0289
Provider Enumeration Date:
07/31/2006