Graduated: 2002
NPI: 1740460161
Practice Locations (2)
MOUNT CARMEL HEALTHPROVIDERS TWO LLC
6001 E BROAD ST, MOUNT CARMEL PALLIATIVE CARE
COLUMBUS, OH 432131502
6142346000
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST
NEWARK, OH 430551822
2205644000
Source: CMS National Downloadable File, September 2026.