Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1700828720
Practice Locations (2)
PROACTIVE THERAPY, INC
1004 LEAWOOD DR
FRANKFORT, KY 406013349
5022237403
KENTUCKY MSO LLC
175 HOSPITAL DR, SUITE 120
GEORGETOWN, KY 40324
5025702324
Source: CMS National Downloadable File, September 2026.