Provider First Line Business Practice Location Address:
2410 W PARRISH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OWENSBORO
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42301-2660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-478-4242
Provider Business Practice Location Address Fax Number:
270-478-5009
Provider Enumeration Date:
01/10/2024