Provider First Line Business Practice Location Address:
641 KY HWY 80 WEST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COMBS
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41729
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-436-4932
Provider Business Practice Location Address Fax Number:
606-439-5194
Provider Enumeration Date:
02/04/2014