Graduated: 2021
NPI: 1962074898
Practice Locations (2)
SOUTHEASTERN PHYSICIAN SERVICES PC
2501 KENTUCKY AVE
PADUCAH, KY 420033813
2705752100
BAPTIST HEALTH MEDICAL GROUP INC
546 LONE OAK RD
PADUCAH, KY 420034526
2704423647
Source: CMS National Downloadable File, September 2026.