Provider First Line Business Practice Location Address:
2525 US HIGHWAY 27 N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FALMOUTH
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41040-8851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-654-6911
Provider Business Practice Location Address Fax Number:
859-654-6143
Provider Enumeration Date:
01/08/2007