Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1689771396
Practice Locations (1)
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC
800 HOSPITAL DR, FL 1
MADISONVILLE, KY 424311658
2703263800
Source: CMS National Downloadable File, September 2026.