Graduated: 2023
NPI: 1871397919
Practice Locations (3)
1351 NEWTOWN PIKE BLDG, SUITE 1
Lexington, KY 405111277
1351 NEWTOWN PIKE, BLDG 1
LEXINGTON, KY 405111277
415 GIBSON LN
RICHMOND, KY 404752577
Source: CMS National Downloadable File, September 2026.