Provider First Line Business Practice Location Address:
KENTUCKY CLINIC PEDIATRIC HIGH BMI CLINIC
Provider Second Line Business Practice Location Address:
740 S. LIMESTONE 2ND FLOOR WING D
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-447-3427
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/12/2016