Provider First Line Business Practice Location Address:
460 UNIVERSITY DRIVE
Provider Second Line Business Practice Location Address:
NKU NUNN DRIVE - UNIVERSITY CENTER
Provider Business Practice Location Address City Name:
HIGHLAND HEIGHTS
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41099-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-578-5660
Provider Business Practice Location Address Fax Number:
859-441-0454
Provider Enumeration Date:
07/18/2005