Provider First Line Business Practice Location Address:
1901 MCGEE ST
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:
64108-1827
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-472-5700
Provider Business Practice Location Address Fax Number:
816-472-5752
Provider Enumeration Date:
01/26/2012