Graduated: 2008
NPI: 1245485085
Practice Locations (2)
CENTERWELL SENIOR PRIMARY CARE KY PSC
2950 W MARKET ST
LOUISVILLE, KY 402121860
5028019502
COMMONWEALTH OF KENTUCKY
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 402163987
50236823482223
Source: CMS National Downloadable File, September 2026.