Graduated: 2022
NPI: 1952002610
Practice Locations (2)
SUMMIT MEDICAL GROUP INC
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173403
8592124468
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 PENTAGON BLVD
BEAVERCREEK, OH 454311705
9377024503
Source: CMS National Downloadable File, September 2026.