Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 1989
NPI: 1689657850
Practice Locations (2)
JACKSON PHYSICIAN CORP
424 JETT DR
JACKSON, KY 413399621
6066662960
KENTUCKY MEDICAL SERVICES FOUNDATION, INC
800 ROSE ST
LEXINGTON, KY 405360001
8593235000
Source: CMS National Downloadable File, September 2026.