Provider First Line Business Practice Location Address:
VIA TELEHEALTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OWENSBORO
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-302-2600
Provider Business Practice Location Address Fax Number:
229-491-9038
Provider Enumeration Date:
05/31/2006