Provider First Line Business Practice Location Address:
UNIVERSITY OF KENTUCKY 800 ROSE ST
Provider Second Line Business Practice Location Address:
ROOM H112
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:
319-400-7468
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/27/2013