Provider First Line Business Practice Location Address:
1532 LONE OAK RD
Provider Second Line Business Practice Location Address:
STE 230 KENTUCKY SPINE AND BRAIN
Provider Business Practice Location Address City Name:
PADUCAH
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-538-5800
Provider Business Practice Location Address Fax Number:
270-538-5801
Provider Enumeration Date:
05/20/2008