Graduated: 2021
NPI: 1477011799
Practice Locations (4)
2050 VERSAILLES RD
LEXINGTON, KY 405041405
2282 STONEWOOD LN
LEXINGTON, KY 405094417
11035 LAVENDER HILL DR, SUITE 223
Las Vegas, NV 891352955
4029 NORTHWEST AVE, SUITE 301
BELLINGHAM, WA 982269077
Source: CMS National Downloadable File, September 2026.