Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1978
NPI: 1003815390
Practice Locations (2)
JACKSON HOSPITAL CORPORATION
49 KY 15
CAMPTON, KY 413018834
6066689481
JACKSON HOSPITAL CORPORATION
424 JETT DR
JACKSON, KY 413399621
6066666600
Source: CMS National Downloadable File, September 2026.