Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1999
NPI: 1558339440
Practice Locations (2)
UPPERLINE HEALTHCARE PC
117 TRADEPARK DR, SUITE B
SOMERSET, KY 425033428
6066792773
VITAL PATH CARE PC
117 TRADEPARK DR, SUITE B
SOMERSET, KY 425033428
6066792773
Source: CMS National Downloadable File, September 2026.