Provider First Line Business Practice Location Address:
9513 PLUMWOOD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FERN CREEK
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40291-1313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-418-3727
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/26/2026