Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1184626244
Practice Locations (1)
MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC
1532 LONE OAK RD, SUITE 310
PADUCAH, KY 420037942
2705386200
Source: CMS National Downloadable File, September 2026.