Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 2018
NPI: 1144789918
Practice Locations (3)
KENTUCKY MEDICAL SERVICES FOUNDATION, INC
800 ROSE ST
LEXINGTON, KY 405360001
8593235000
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST, LICKING MEMORIAL ANESTHESIOLOGY
NEWARK, OH 430551822
2205644226
WATAUGA ORTHOPAEDICS PLC
2410 SUSANNAH ST
JOHNSON CITY, TN 376011748
4232829011
Source: CMS National Downloadable File, September 2026.