Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1336136514
Practice Locations (2)
1019 PADUCAH RD, SUITE B
MAYFIELD, KY 420663616
2708047408400
PINELAKE PHYSICIAN PRACTICE LLC
1029 MEDICAL CTR CIR
MAYFIELD, KY 420661189
2702514100
Source: CMS National Downloadable File, September 2026.