Provider First Line Business Practice Location Address:
UNIVERSITY HEALTH SERVICE
Provider Second Line Business Practice Location Address:
KENTUCKY CLINIC B-163
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536-0284
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-323-5823
Provider Business Practice Location Address Fax Number:
859-323-1119
Provider Enumeration Date:
01/24/2006