Provider First Line Business Practice Location Address: 
830 S. LIMESTONE
    Provider Second Line Business Practice Location Address: 
UK DIVISION OF GENERAL INTERNAL MEDICINE
    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: 
859-323-0303
    Provider Business Practice Location Address Fax Number: 
859-323-1200
    Provider Enumeration Date: 
03/31/2013