Graduated: 1998
NPI: 1962483941
Practice Locations (2)
MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC
1532 LONE OAK RD
PADUCAH, KY 420037942
MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC
200 CLINT HILL BLVD
PADUCAH, KY 420016768
2704429461
Source: CMS National Downloadable File, September 2026.