Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1164534152
Practice Locations (2)
2659 N LAUREL RD, P.O. BOX 495
East Bernstadt, KY 40729
PO BOX, SUITE 495
EAST BERNSTADT, KY 407290495
Source: CMS National Downloadable File, September 2026.