Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1912010901
Practice Locations (2)
PROACTIVE THERAPY, INC
1004 LEAWOOD DR
FRANKFORT, KY 406013349
5022237403
NEW LEXINGTON CLINIC PSC
700 BOB-O-LINK DR
LEXINGTON, KY 40504
8592584000
Source: CMS National Downloadable File, September 2026.