Medical school: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1033174222
Practice Locations (1)
NORTHERN KENTUCKY MENTAL HEALTH MENTAL RETARDATION REGIONAL BOARD
7459 BURLINGTON PIKE
FLORENCE, KY 410421553
8595783200
Source: CMS National Downloadable File, September 2026.