Provider First Line Business Practice Location Address:
20375 W. 151ST STREET
Provider Second Line Business Practice Location Address:
UNIVERSITY OF KANSAS MEDICAL CENTER-OLATHE CAMPUS
Provider Business Practice Location Address City Name:
OLATHE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-945-7483
Provider Business Practice Location Address Fax Number:
913-588-3995
Provider Enumeration Date:
05/20/2025