Provider First Line Business Practice Location Address:
801 EASTERN BYPASS
Provider Second Line Business Practice Location Address:
PATTIE A CLAY HOSPITAL
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40475
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-624-1879
Provider Business Practice Location Address Fax Number:
859-625-3171
Provider Enumeration Date:
10/17/2006