Provider First Line Business Practice Location Address:
PATTIE A CLAY REGIONAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
EASTERN BYPASS
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40476-2603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-335-9041
Provider Business Practice Location Address Fax Number:
859-335-9072
Provider Enumeration Date:
09/06/2006