Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 2008
NPI: 1962661488
Practice Locations (1)
CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC
6801 DIXIE HWY, SUITE 132
LOUISVILLE, KY 402583952
5026572701
Source: CMS National Downloadable File, September 2026.