Provider First Line Business Practice Location Address:
2323 SWOPE PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64130-2638
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-924-1122
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/29/2014