Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2003
Also: PEDIATRIC MEDICINE
NPI: 1265640411
Practice Locations (2)
KENTUCKY MSO LLC
1138 LEXINGTON RD, SUITE 130
GEORGETOWN, KY 403249673
5025702324
KENTUCKY MSO LLC
175 HOSPITAL DR, SUITE 120
GEORGETOWN, KY 40324
5025702324
Source: CMS National Downloadable File, September 2026.