Provider First Line Business Practice Location Address:
KENTUCKY CHILDRENS HOSPITAL
Provider Second Line Business Practice Location Address:
MN-102, CHANDLER MEDICAL CENTER
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536-0298
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-323-5625
Provider Business Practice Location Address Fax Number:
859-323-5289
Provider Enumeration Date:
02/07/2007