Graduated: 2009
NPI: 1750648168
Practice Locations (6)
PO BOX, SUITE 701059
LOUISVILLE, KY 40270
PO BOX, SUITE 701059
LOUISVILLE, KY 402701059
8617 HICKORY FALLS LN
PEWEE VALLEY, KY 400569180
268 E FRIEND ST, SUITE 101
PRESTONSBURG, KY 416538071
121 S HIGHLAND ST
WINCHESTER, KY 403912003
PO BOX
DALLAS, TX 75373
Source: CMS National Downloadable File, September 2026.