Provider First Line Business Practice Location Address:
1428 S. 32ND STREET
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:
66106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-945-7300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/29/2009