Graduated: 2001
NPI: 1073606539
Practice Locations (2)
PINELAKE PHYSICIAN PRACTICE LLC
1029 MEDICAL CTR CIR
MAYFIELD, KY 420661189
2702514100
BAPTIST HEALTH MEDICAL GROUP INC
2605 KENTUCKY AVE, SUITE 301
PADUCAH, KY 420033802
2704431220
Source: CMS National Downloadable File, September 2026.