Graduated: 2008
NPI: 1902068968
Practice Locations (4)
300 DAVE COWENS DR
Newport, KY 410714543
300 DAVE COWENS DR
NEWPORT, KY 410714543
300 DAVE COWENS DR, SUITE 600
NEWPORT, KY 410714543
PO BOX
CINCINNATI, OH 45263
Source: CMS National Downloadable File, September 2026.