Provider First Line Business Practice Location Address:
162 NORMANS CAMP RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARRODSBURG
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40330-9236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-748-5000
Provider Business Practice Location Address Fax Number:
859-748-5500
Provider Enumeration Date:
01/02/2007