Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1932736360
Practice Locations (3)
115 WALLER AVE
Lexington, KY 405031035
115 WALLER AVE, SUITE 209
Lexington, KY 405031035
115 WALLER AVE, SUITE 209
LEXINGTON, KY 405030284
Source: CMS National Downloadable File, September 2026.