Provider First Line Business Practice Location Address:
UNIVERSITY OF KENTUCKY GME
Provider Second Line Business Practice Location Address:
800 ROSE ST. ROOM HQ-101
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536-0293
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-707-9303
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2012