Graduated: 2001
Offers telehealth
NPI: 1851578579
Practice Locations (2)
COMMONWEALTH OF KENTUCKY
1800 BLUEGRASS AVE
LOUISVILLE, KY 402151130
5023612301
MT. AIRY DEVELOPMENT, LLC
2446 KIPLING AVE
CINCINNATI, OH 452396650
5138662220
Source: CMS National Downloadable File, September 2026.