Provider First Line Business Practice Location Address:
DIVISION OF PULMONARY CRITICAL CARE SLEEP
Provider Second Line Business Practice Location Address:
KENTUCKY CLINIC, L543
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-323-2624
Provider Business Practice Location Address Fax Number:
859-257-2418
Provider Enumeration Date:
12/24/2007