Graduated: 2022
NPI: 1215651815
Practice Locations (2)
KENTUCKY MSO LLC
8 LINVILLE DR, SUITE E
PARIS, KY 403612170
8593401377
CLARK REGIONAL PHYSICIAN PRACTICES LLC
225 HOSPITAL DR, 300A
WINCHESTER, KY 403917604
8597376555
Source: CMS National Downloadable File, September 2026.