Provider First Line Business Practice Location Address:
1800 BLUEGRASS AVENUE, STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-368-2348
Provider Business Practice Location Address Fax Number:
502-368-2340
Provider Enumeration Date:
01/02/2007