Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1952453243
Practice Locations (2)
69 STATE RD, SUITE 3444
ANNVILLE, KY 404028701
6068628333
87 CVB DR
LONDON, KY 407411096
6068628333
Source: CMS National Downloadable File, September 2026.