Provider First Line Business Practice Location Address:
UNIVERSITY OF KENTUCKY ADOLESCENT MED
Provider Second Line Business Practice Location Address:
740 SOUTH LIMESTONE
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-323-1897
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2006