Graduated: 1991
NPI: 1386665040
Practice Locations (2)
ST ELIZABETH MEDICAL CENTER, INC
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173439
8593010124
SUMMIT MEDICAL GROUP INC
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173439
8593313353
Source: CMS National Downloadable File, September 2026.