Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1245264852
Practice Locations (2)
CLOVER FORK OUTPATIENT MEDICAL PROJECT INC
101 CHAD ST
EVARTS, KY 408288200
6068372108
CLOVER FORK OUTPATIENT MEDICAL PROJECT INC
209 E MOUND ST
HARLAN, KY 408312321
6065731975
Source: CMS National Downloadable File, September 2026.