Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1972
NPI: 1598767485
Practice Locations (2)
3900 S DUPONT SQUARE, SUITE A
LOUISIVILLE, KY 402075600
5028962131
3900 S DUPONT SQ
LOUISVILLE, KY 402075600
Source: CMS National Downloadable File, September 2026.