Graduated: 2005
NPI: 1770520157
Practice Locations (4)
7511 NEW LAGRANGE RD
LOUISVILLE, KY 402224859
9400 WILLIAMSBURG PLZ, SUITE 310
LOUISVILLE, KY 402226016
1 OPTUM CIR
EDEN PRAIRIE, MN 553442956
11000 OPTUM CIR
EDEN PRAIRIE, MN 553442503
Source: CMS National Downloadable File, September 2026.