Graduated: 2003
NPI: 1952596405
Practice Locations (2)
SOMC MEDICAL CARE FOUNDATION, INC.
1121 KINNEYS LN
PORTSMOUTH, OH 456622806
7403567490
SOMC MEDICAL CARE FOUNDATION, INC.
1805 27TH ST
PORTSMOUTH, OH 456622640
7403568117
Source: CMS National Downloadable File, September 2026.