Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1417277229
Practice Locations (1)
MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC
1532 LONE OAK RD, SUITE 415
PADUCAH, KY 420037943
2704420103
Source: CMS National Downloadable File, September 2026.