Provider First Line Business Practice Location Address:
3901 RAINBOW BOULEVARD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PEDIATRICS- MAILSTOP 4004
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66160-2937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-6301
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/24/2011