Provider First Line Business Practice Location Address:
2845 W PARRISH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OWENSBORO
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42301-3337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-688-0100
Provider Business Practice Location Address Fax Number:
270-688-0700
Provider Enumeration Date:
12/17/2024