Graduated: 2020
NPI: 1962039958
Practice Locations (3)
BAPTIST HEALTH MEDICAL GROUP INC
913 N DIXIE AVE
ELIZABETHTOWN, KY 427012503
2707065275
PIKEVILLE MEDICAL CENTER INC
911 BYPASS RD, BLDG A
PIKEVILLE, KY 415011689
6064303500
CENTRACARE CLINIC
1200 6TH N AVE
SAINT CLOUD, MN 563032735
3202525131
Source: CMS National Downloadable File, September 2026.