Graduated: 1999
NPI: 1881646339
Practice Locations (2)
ST ELIZABETH MEDICAL CENTER, INC
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173439
8593019010
SUMMIT MEDICAL GROUP INC
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173439
8593313353
Source: CMS National Downloadable File, September 2026.