Provider First Line Business Practice Location Address:
P.O. 220
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETSY LAYNE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-424-7749
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/01/2025