Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1994
Offers telehealth
NPI: 1063419133
Practice Locations (1)
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC
30 MEDPARK SQUARE DR, SUITE 1
SOMERSET, KY 425031709
6064510485
Source: CMS National Downloadable File, September 2026.