Provider First Line Business Practice Location Address:
4101 SOUTH 4TH STREET TRAFFICWAY
Provider Second Line Business Practice Location Address:
WOMEN'S HEALTH CENTER
Provider Business Practice Location Address City Name:
LEAVENWORTH
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66048-5104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-682-2000
Provider Business Practice Location Address Fax Number:
913-946-1572
Provider Enumeration Date:
11/02/2005