Graduated: 2013
NPI: 1033665716
Practice Locations (3)
120 MARKET PLACE CIR, SUITE 182
Georgetown, KY 403247205
108 CHICKADEE TRL
GEORGETOWN, KY 403242105
5132063026
120 MARKET PLACE CIR, SUITE C 182
GEORGETOWN, KY 403247205
Source: CMS National Downloadable File, September 2026.