Graduated: 2015
NPI: 1417327008
Practice Locations (3)
PINELAKE PHYSICIAN PRACTICE LLC
106 W CLAY ST
CLINTON, KY 420311317
2706530220
ULTRA HEALTH LLC
867 MCGUIRE AVE
PADUCAH, KY 420014036
7313941145
PINEVILLE COMMUNITY HEALTH CENTER INC
850 RIVERVIEW AVE
PINEVILLE, KY 409771452
6063373051251
Source: CMS National Downloadable File, September 2026.