Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 1990
NPI: 1912056318
Practice Locations (3)
1220 MISSOURI AVE
JEFFERSONVILLE, IN 471303725
5022284738
CCMH CORPORATION
309 11TH ST
CARROLLTON, KY 410081435
5027323278
PROACTIVE THERAPY, INC
1004 LEAWOOD DR
FRANKFORT, KY 406013349
5022237403
Source: CMS National Downloadable File, September 2026.