BRIAN ALLEN VICE

PRESTONSBURG, KY
NPI1356034045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2023-05-30
Last Update Date2023-05-30
Business Address
BRIAN ALLEN VICE APSS
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
BRIAN ALLEN VICE APSS
126 WILLOW DELL DR
EWING, KY 41039-8492
Phone number: 606-748-8797