Provider First Line Business Practice Location Address:
KENTUCKY CLINIC OFC J-457
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:
40536-0284
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-218-0931
Provider Business Practice Location Address Fax Number:
859-257-1888
Provider Enumeration Date:
12/26/2006