Graduated: 2012
NPI: 1164784351
Practice Locations (2)
KIOSK MEDICINE KENTUCKY LLC
130 PAVILION PKWY
NEWPORT, KY 410712998
8596527203
THE LITTLE CLINIC OF OHIO LLC
3760 PAXTON AVE
CINCINNATI, OH 452092306
5134888077
Source: CMS National Downloadable File, September 2026.