Provider First Line Business Practice Location Address:
1427 KY HIGHWAY 259 N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROWNSVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42210-9280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-597-3711
Provider Business Practice Location Address Fax Number:
502-597-2032
Provider Enumeration Date:
03/08/2013