Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2015
NPI: 1669868618
Practice Locations (3)
300 DAVE COWENS DR, SUITE 600
NEWPORT, KY 410714563
PO BOX, SUITE 904
LIMA, OH 458020904
PO BOX, SUITE 935
LIMA, OH 458020935
Source: CMS National Downloadable File, September 2026.