Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1003809997
Practice Locations (4)
WESTERN KY REGIONAL MHMR BOARD INC
1525 CUBA RD
MAYFIELD, KY 420666809
2702472588
WESTERN KY REGIONAL MHMR BOARD INC
1539 CUBA RD
MAYFIELD, KY 420666809
2704427121
WESTERN KY REGIONAL MHMR BOARD INC
425 BROADWAY ST, SUITE 201
Paducah, KY 420010713
WESTERN KY REGIONAL MHMR BOARD INC
425 BROADWAY ST
PADUCAH, KY 420010713
Source: CMS National Downloadable File, September 2026.