Medical school: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated: 2013
NPI: 1669747184
Practice Locations (2)
24 ON PHYSICIANS PC
217 S 3RD ST
DANVILLE, KY 404221823
8592395008
EMPACT MIDWEST LLC
110 METKER TRL
STANFORD, KY 404841020
6063654600
Source: CMS National Downloadable File, September 2026.