Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 1990
NPI: 1366434268
Practice Locations (2)
KND DEVELOPMENT 59 LLC
730 W MARKET ST
LIMA, OH 458014602
4192241888
MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC
730 W MARKET ST
LIMA, OH 458014602
4192264310
Source: CMS National Downloadable File, September 2026.