Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2009
NPI: 1578791018
Practice Locations (1)
MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC
1532 LONE OAK RD, SUITE 235
PADUCAH, KY 420037941
2704429463
Source: CMS National Downloadable File, September 2026.