Graduated: 1987
NPI: 1487615209
Practice Locations (3)
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
2201 LEXINGTON AVE
ASHLAND, KY 411012843
6064084000
PERIOPERATIVE SERVICES OF MISSISSIPPI, LLC
1225 N STATE ST, MS BAPTIST MEDICAL CENTER
JACKSON, MS 392022064
6013172802
SOMC MEDICAL CARE FOUNDATION, INC.
1805 27TH ST
PORTSMOUTH, OH 456622640
7403568681
Source: CMS National Downloadable File, September 2026.