Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 2024
NPI: 1457972952
Practice Locations (4)
PO BOX, SUITE 340
ELIZABETHTOWN, KY 42702
10510 LA GRANGE RD
LOUISVILLE, KY 402231228
10510 LA GRANGE RD
LOUISVILLE, KY 402231277
15954 CUMBERLAND LAKE CIR
LOUISVILLE, KY 402453803
Source: CMS National Downloadable File, September 2026.