Provider First Line Business Practice Location Address:
851 IRELAND AVENUE
Provider Second Line Business Practice Location Address:
IRELAND ARMY COMMUNITY HOSPITAL-FAMILY PRACTICE CLINIC
Provider Business Practice Location Address City Name:
FT KNOX
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-624-9278
Provider Business Practice Location Address Fax Number:
502-624-0256
Provider Enumeration Date:
06/15/2006