Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1376547711
Practice Locations (2)
118 GRAND VUE PLZ, SUITE 118
HAZARD, KY 417016842
6064871646
2705 OLIVET CHURCH RD, SUITE 600
PADUCAH, KY 420019755
2704430096
Source: CMS National Downloadable File, September 2026.