GREATER KENTUCKY WELLNESS CENTER LLC

IRVINE, KY
NPI1871871780
Entity TypeOrganization
Authorized ContactJERRY WAYNE BURNHAM
Owner
606-717-1018
Organization Subpart ?No
Primary Taxonomy261QP3300X Clinic/Center, Pain
Enumeration Date2011-07-26
Last Update Date2011-07-26
Business Address
GREATER KENTUCKY WELLNESS CENTER LLC
101 RIVER DR
IRVINE, KY 40336-1117
Phone number: 606-717-1018
Mailing Address
GREATER KENTUCKY WELLNESS CENTER LLC
101 RIVER DR
IRVINE, KY 40336-1117
Phone number: 606-717-1018
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