Graduated: 2024
NPI: 1053127373
Practice Locations (2)
GIM OF KENTUCKY PLLC
2500 N ELM ST
HENDERSON, KY 424202005
2708269794
HEALTH PROVIDERS OF AMERICA LLC
4960 VILLAGE SQUARE DR
PADUCAH, KY 420017490
8645939996
Source: CMS National Downloadable File, September 2026.