Graduated: 2019
NPI: 1720619059
Practice Locations (4)
502 CATHEY LN
Lucasville, OH 456488768
67 FRANK FUCKETT RD
OAK HILL, OH 456569780
1711 27TH ST, SUITE 306
PORTSMOUTH, OH 456622669
315 9TH ST
NEW BRIGHTON, PA 150661927
Source: CMS National Downloadable File, September 2026.