Provider First Line Business Practice Location Address: 
UK DIVISION OF MEDICAL ONCOLOGY
    Provider Second Line Business Practice Location Address: 
800 ROSE STREET, CC401
    Provider Business Practice Location Address City Name: 
LEXINGTON
    Provider Business Practice Location Address State Name: 
KY
    Provider Business Practice Location Address Postal Code: 
40536-0093
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
859-323-8043
    Provider Business Practice Location Address Fax Number: 
859-257-7715
    Provider Enumeration Date: 
11/22/2005