Provider First Line Business Practice Location Address:
PROVIDENCE MEDICAL CENTER
Provider Second Line Business Practice Location Address:
8929 PARALLEL PARKWAY
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:
913-596-4860
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/13/2007