Provider First Line Business Practice Location Address:
KY CHILDREN'S HOSPITAL 800 ROSE ST 4TH FLOOR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536-7001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-218-0921
Provider Business Practice Location Address Fax Number:
859-257-1831
Provider Enumeration Date:
08/30/2023