Graduated: 2018
NPI: 1558859561
Practice Locations (2)
ULTRA HEALTH LLC
420 JETT DR
JACKSON, KY 413399621
7313941145
PINEVILLE COMMUNITY HEALTH CENTER INC
850 RIVERVIEW AVE
PINEVILLE, KY 409771452
6063373051251
Source: CMS National Downloadable File, September 2026.