Provider First Line Business Practice Location Address:
UNIVERSITY OF KANSAS MEDICAL CENTER 3901
Provider Second Line Business Practice Location Address:
MS 3007
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66160-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-6046
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2007