Graduated: 2024
NPI: 1063259232
Practice Locations (2)
PRIMECARE PSC
2413 RING RD, SUITE 110
ELIZABETHTOWN, KY 427015924
2707654535
PT PROS, INC
4031 N DIXIE HWY, SUITE 104
ELIZABETHTOWN, KY 427017873
2709824776
Source: CMS National Downloadable File, September 2026.