Provider First Line Business Practice Location Address:
3070 HARRODSBURG RD STE 130
Provider Second Line Business Practice Location Address:
TELEHEALTH ONLY
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40503-2764
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-787-0936
Provider Business Practice Location Address Fax Number:
859-201-1207
Provider Enumeration Date:
08/28/2023