Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2022
NPI: 1669119277
Practice Locations (2)
115 WALLER AVE, SUITE 209
Lexington, KY 405031035
115 WALLER AVE, SUITE 209
LEXINGTON, KY 405031035
Source: CMS National Downloadable File, September 2026.