Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1932273174
Practice Locations (2)
KMI ACQUISITION LLC
8521 LA GRANGE RD
LOUISVILLE, KY 402423800
5024266380
KMI ACQUISITION LLC
8521 LAGRANGE RD, ATTN CFO
LOUISVILLE, KY 402423800
Source: CMS National Downloadable File, September 2026.