Provider First Line Business Practice Location Address:
133 S MORGAN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORGANFIELD
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42437
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-997-9781
Provider Business Practice Location Address Fax Number:
270-652-1040
Provider Enumeration Date:
10/25/2023