Graduated: 2011
NPI: 1912523036
Practice Locations (2)
SOUTHEASTERN PHYSICIAN SERVICES PC
2501 KENTUCKY AVE
PADUCAH, KY 420033813
2705752100
AMAGO INPATIENT SERVICES LLC
2501 KENTUCKY AVE
PADUCAH, KY 420033813
9549395000
Source: CMS National Downloadable File, September 2026.