Provider First Line Business Practice Location Address:
327 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OWENTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40359-1409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-484-3113
Provider Business Practice Location Address Fax Number:
502-484-0141
Provider Enumeration Date:
08/15/2006