Provider First Line Business Practice Location Address:
1000 S 12TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURRAY
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42071
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-759-9200
Provider Business Practice Location Address Fax Number:
270-759-8368
Provider Enumeration Date:
07/17/2017