Provider First Line Business Practice Location Address:
UKCMC GME
Provider Second Line Business Practice Location Address:
800 ROSE ST., HQ-101
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536-0293
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-323-5871
Provider Business Practice Location Address Fax Number:
859-323-2054
Provider Enumeration Date:
03/09/2011