Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 2005
NPI: 1609995265
Practice Locations (2)
PROACTIVE THERAPY, INC
1004 LEAWOOD DR
FRANKFORT, KY 406013349
5022237403
851 CORPORATE DR, SUITE 110
LEXINGTON, KY 405035429
8592632222
Source: CMS National Downloadable File, September 2026.