Graduated: 2024
NPI: 1063207637
Practice Locations (2)
SOUTHEASTERN EMERGENCY PHYSICIANS LLC
2501 KENTUCKY AVE
PADUCAH, KY 420033813
2705752100
KENTUCKY EM-I MEDICAL SERVICES PSC
2501 KENTUCKY AVE
PADUCAH, KY 420033813
9549395000
Source: CMS National Downloadable File, September 2026.