Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1989
NPI: 1104802131
Practice Locations (1)
UNIVERSITY OF LOUISVILLE PHYSICIANS INC
530 S JACKSON ST
LOUISVILLE, KY 402021675
5025623000
Source: CMS National Downloadable File, September 2026.