Provider First Line Business Practice Location Address:
100 EMERGENCY SERVICES DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42602-9548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-387-9163
Provider Business Practice Location Address Fax Number:
606-387-3267
Provider Enumeration Date:
03/27/2007