Graduated: 2021
NPI: 1174291512
Practice Locations (2)
SUMMIT MEDICAL GROUP INC
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173403
8592124468
ST ELIZABETH MEDICAL CENTER, INC
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173439
8593019010
Source: CMS National Downloadable File, September 2026.