Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1831267459
Practice Locations (2)
1700 BLUEGRASS AVE, SUITE 300
LOUISVILLE, KY 402151175
1700 OLD BLUEGRASS AVE
LOUISVILLE, KY 402151175
5023661388
Source: CMS National Downloadable File, September 2026.