Provider First Line Business Practice Location Address:
CASEY COUNTY PRIMARY CARE
Provider Second Line Business Practice Location Address:
187 WOLFORD AVENUE
Provider Business Practice Location Address City Name:
LIBERTY
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42539-3278
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-787-8348
Provider Business Practice Location Address Fax Number:
606-787-0251
Provider Enumeration Date:
08/13/2019