Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2023
NPI: 1396440368
Practice Locations (2)
500 W JEFFERSON ST, SUITE 2310
Louisville, KY 402022881
1901 CAMPUS PL
LOUISVILLE, KY 402992308
Source: CMS National Downloadable File, September 2026.