Graduated: 2021
NPI: 1164094850
Practice Locations (4)
MEMORIAL HOSPITAL, INC.
53 QUEENDALE CTR, SUITE 2
BEVERLY, KY 409138621
6065985135
PRIMARY CARE CENTERS OF EASTERN KENTUCKY LLC
101 TOWN AND COUNTRY LN, SUITE 100
HAZARD, KY 417019524
6064391300
PRIMARY CARE CENTERS OF EASTERN KENTUCKY LLC
21992 MAIN ST
HYDEN, KY 417498567
6066725200
MEMORIAL HOSPITAL, INC.
56 MARIE LANGDON DR
MANCHESTER, KY 409626329
6065994080
Source: CMS National Downloadable File, September 2026.