Graduated: 2002
NPI: 1639282148
Practice Locations (3)
KINGMAN HEALTHCARE INC
1739 E BEVERLY AVE, SUITE 200
KINGMAN, AZ 864093593
9286818705
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
3 GLEN COVE DR
ROCKPORT, ME 048564232
Source: CMS National Downloadable File, September 2026.