Provider First Line Business Practice Location Address:
1295 US HIGHWAY 60 W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORGANFIELD
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42437-6236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-389-1212
Provider Business Practice Location Address Fax Number:
270-389-0046
Provider Enumeration Date:
09/17/2008