Provider First Line Business Practice Location Address:
CHANDLER MEDICAL CENTER 740 S LIMESTONE
Provider Second Line Business Practice Location Address:
PEDIATRIC PULMONARY, UKY, J420 KENTUCKY CLINIC
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536-0284
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-257-5536
Provider Business Practice Location Address Fax Number:
859-257-1888
Provider Enumeration Date:
04/20/2006