Provider First Line Business Practice Location Address:
600 S. PRESTON ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40202-1451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-589-6000
Provider Business Practice Location Address Fax Number:
502-589-8771
Provider Enumeration Date:
10/07/2010