Provider First Line Business Practice Location Address:
3901 RAINBOW BLVD, MS 3010
Provider Second Line Business Practice Location Address:
DEPARTMENT OF OTO-HNS
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-6701
Provider Business Practice Location Address Fax Number:
913-588-4676
Provider Enumeration Date:
02/27/2007