Graduated: 2020
NPI: 1437745163
Practice Locations (2)
MODERN DERMATOLOGY OF KENTUCKY LLC
120 MERIDIAN WAY, SUITE 3
RICHMOND, KY 404752881
8592761511
505 SHOPPERS DR, SUITE 1
WINCHESTER, KY 403912808
8598006259
Source: CMS National Downloadable File, September 2026.