Medical school: UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated: 2004
NPI: 1124041686
Practice Locations (5)
PO BOX, SUITE 538622
ATLANTA, GA 303538622
1930 BISHOP LANE, SUITE 1017
Louisville, KY 402181933
100 MALLARD CREEK RD, SUITE 150
LOUISVILLE, KY 402075138
315 E BROADWAY
LOUISVILLE, KY 402021703
506 EXECUTIVE PARK
LOUISVILLE, KY 402074205
Source: CMS National Downloadable File, September 2026.