Provider First Line Business Practice Location Address:
1330 COSHOCTON AVE
Provider Second Line Business Practice Location Address:
KCH WRIGHT FAMILY MEDICAL PAVILION DEPT OF SPECIALTY CA
Provider Business Practice Location Address City Name:
MOUNT VERNON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-397-5400
Provider Business Practice Location Address Fax Number:
740-399-3706
Provider Enumeration Date:
12/18/2008