Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 2007
NPI: 1043413131
Practice Locations (3)
SOUTHEASTERN PHYSICIAN SERVICES PC
310 S LIMESTONE
LEXINGTON, KY 405083008
8592267000
SOUTHEASTERN PHYSICIAN SERVICES PC
2501 KENTUCKY AVE
PADUCAH, KY 420033813
2705752100
AMAGO INPATIENT SERVICES LLC
2501 KENTUCKY AVE
PADUCAH, KY 420033813
9549395000
Source: CMS National Downloadable File, September 2026.