Provider First Line Business Practice Location Address:
2032 SUDLER
Provider Second Line Business Practice Location Address:
KU MED CENTER
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:
913-588-1227
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/25/2016