Graduated: 2022
NPI: 1093408510
Practice Locations (2)
PIKEVILLE MEDICAL CENTER INC
911 BYPASS RD, BLDG A
PIKEVILLE, KY 415011689
6064303500
DOMINION HEALTH AND FITNESS, INC
4862 DICKENSON HWY, PO BOX 1810
CLINTWOOD, VA 242281810
Source: CMS National Downloadable File, September 2026.