Graduated: 2018
NPI: 1205313574
Practice Locations (2)
SOMC MEDICAL CARE FOUNDATION, INC.
US 23 INDIANOLA AVE
SOUTH SHORE, KY 41175
6069233159
SOMC MEDICAL CARE FOUNDATION, INC.
1248 KINNEYS LN
PORTSMOUTH, OH 456622927
7403567290
Source: CMS National Downloadable File, September 2026.