Graduated: 2000
NPI: 1962416602
Practice Locations (2)
KENTUCKY MEDICAL SERVICES FOUNDATION, INC
750 MORTON BLVD
HAZARD, KY 417019469
6064391559
KENTUCKY MEDICAL SERVICES FOUNDATION, INC
59 COWTOWN RD
HINDMAN, KY 418229120
6067853175
Source: CMS National Downloadable File, September 2026.