Graduated: 1989
NPI: 1275503062
Practice Locations (2)
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
2201 LEXINGTON AVE
ASHLAND, KY 411012843
6064084000
CHI HEALTH CLINIC PHYSICIAN ENTERPRISE-ANESTHESIA LLC
7500 MERCY RD
OMAHA, NE 681242319
4027174866
Source: CMS National Downloadable File, September 2026.