Provider First Line Business Practice Location Address:
UNIVERSITY OF KENTUCKY KENTUCKY CLINIC L543
Provider Second Line Business Practice Location Address:
740 S. LIMESTONE
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536-2813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-323-9555
Provider Business Practice Location Address Fax Number:
859-257-2418
Provider Enumeration Date:
05/25/2011