Provider First Line Business Practice Location Address:
200 CURRY PIKE APT 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARRODSBURG
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40330-9754
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-325-6001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/22/2024