Medical school: UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated: 2001
NPI: 1861466427
Practice Locations (1)
KENTUCKY MEDICAL SERVICES FOUNDATION, INC
5425 N MAYO TRL, SUITE 202
PIKEVILLE, KY 415012965
6062005353
Source: CMS National Downloadable File, September 2026.