Graduated: 2014
NPI: 1376949313
Practice Locations (2)
ST ELIZABETH MEDICAL CENTER, INC
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173403
8593014723
ST ELIZABETH MEDICAL CENTER, INC
20 MEDICAL VILLAGE DR, SUITE 212
EDGEWOOD, KY 410175405
8593014000
Source: CMS National Downloadable File, September 2026.