Graduated: 2022
NPI: 1912603937
Practice Locations (2)
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
2930 CARTER AVE
ASHLAND, KY 411011943
6063241483
ST. MARY'S MEDICAL MANAGEMENT, LLC
2828 1ST AVE, SUITE 200
HUNTINGTON, WV 257021236
3043997530
Source: CMS National Downloadable File, September 2026.