Provider First Line Business Practice Location Address:
1 MEDICAL VILLAGE DRIVE ST. ELIZABETH MEDICAL CENTER
Provider Second Line Business Practice Location Address:
ST. ELIZABETH MEDICAL CENTER
Provider Business Practice Location Address City Name:
EDGEWOOD
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-301-2260
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/24/2008