Provider First Line Business Practice Location Address:
530 PERRYVILLE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARRODSBURG
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40330-2012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-733-7000
Provider Business Practice Location Address Fax Number:
859-733-7044
Provider Enumeration Date:
03/09/2021