Graduated: 2015
NPI: 1700258183
Practice Locations (2)
GREEN VALLEY HOSPITAL MEDICINE PHYSICIANS LLC
1530 LONE OAK RD
PADUCAH, KY 420037901
2704442444
SOUTHEASTERN PHYSICIAN SERVICES PC
2501 KENTUCKY AVE
PADUCAH, KY 420033813
2705752100
Source: CMS National Downloadable File, September 2026.