Graduated: 2011
NPI: 1164042289
Practice Locations (2)
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
1000 ASHLAND DR, SUITE 102
ASHLAND, KY 411017092
6064087438
LICKING MEMORIAL PROFESSIONAL CORPORATION
1902 TAMARACK RD
NEWARK, OH 430552303
2205641750
Source: CMS National Downloadable File, September 2026.