Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1659326247
Practice Locations (3)
PINELAKE PHYSICIAN PRACTICE LLC
1029 MEDICAL CTR CIR
MAYFIELD, KY 420661189
PINELAKE PHYSICIAN PRACTICE LLC
1099 MEDICAL CTR CIR
MAYFIELD, KY 420661179
2702514250
PINELAKE PHYSICIAN PRACTICE LLC
1111 MEDICAL CTR CIR
MAYFIELD, KY 420661194
2702514045
Source: CMS National Downloadable File, September 2026.