Graduated: 2020
NPI: 1235747726
Practice Locations (3)
CRITTENDEN COMMUNITY HOSPITAL LLC
520 W GUM ST
MARION, KY 420641516
2709651042
SOUTHEASTERN EMERGENCY PHYSICIANS LLC
2501 KENTUCKY AVE
PADUCAH, KY 420033813
2705752100
KENTUCKY EM-I MEDICAL SERVICES PSC
2501 KENTUCKY AVE
PADUCAH, KY 420033813
9549395000
Source: CMS National Downloadable File, September 2026.