Provider First Line Business Practice Location Address:
125 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PADUCAH
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42003-7910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-444-0303
Provider Business Practice Location Address Fax Number:
270-443-6582
Provider Enumeration Date:
01/27/2006