Graduated: 2011
NPI: 1518248699
Practice Locations (2)
ULTRA HEALTH LLC
300 WESTWOOD ST
GLASGOW, KY 421411030
7313941145
VITAE HEALTH MEDICAL KENTUCKY, LLC
3500 GOOD SAMARITAN WAY
LOUISVILLE, KY 402996117
5022677403
Source: CMS National Downloadable File, September 2026.