Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1990
Offers telehealth
NPI: 1851389209
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
601 S MAIN ST, PRIMARY CARE KEN PRATT BLVD
LONGMONT, CO 805016427
7207188999
Source: CMS National Downloadable File, September 2026.