Graduated: 2013
NPI: 1336561901
Practice Locations (3)
SOUTHEASTERN PHYSICIAN SERVICES PC
310 S LIMESTONE
LEXINGTON, KY 405083008
8592267000
GREEN VALLEY HOSPITAL MEDICINE PHYSICIANS LLC
1530 LONE OAK RD
PADUCAH, KY 420037901
2704442444
SOUTHEASTERN PHYSICIAN SERVICES PC
2501 KENTUCKY AVE
PADUCAH, KY 420033813
2705752100
Source: CMS National Downloadable File, September 2026.