Graduated: 2020
NPI: 1457968406
Practice Locations (2)
WAYNE COUNTY HOSPITAL INC
166 HOSPITAL ST
MONTICELLO, KY 426332416
LAKE CUMBERLAND PEDIATRICS PLLC
268 ROLLING HILLS BLVD
MONTICELLO, KY 426339004
6067530293
Source: CMS National Downloadable File, September 2026.