Provider First Line Business Practice Location Address:
201 S SUMMIT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARKANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67005-2846
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
620-442-3500
Provider Business Practice Location Address Fax Number:
620-442-2184
Provider Enumeration Date:
09/26/2006