Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1978
Offers telehealth
NPI: 1811957459
Practice Locations (2)
100 FOUNTAIN AVE
PADUCAH, KY 420012724
100 FOUNTAIN AVE, SUITE 301
PADUCAH, KY 420012774
2714438195
Source: CMS National Downloadable File, September 2026.