Graduated: 2008
NPI: 1174700470
Practice Locations (4)
1901 CAMPUS PL
LOUISVILLE, KY 402992308
7511 NEW LA GRANGE RD
LOUISVILLE, KY 402224859
7511 NEW LAGRANGE RD
LOUISVILLE, KY 402224859
1 OPTUM CIR
EDEN PRAIRIE, MN 553442956
Source: CMS National Downloadable File, September 2026.