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Doctors / KY
UNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Graduated: 2000
NPI: 1962793141
1301 N RACE ST
GLASGOW, KY 421413454
310 N L ROGERS WELLS BLVD
GLASGOW, KY 421411300
PO BOX
CINCINNATI, OH 45264
Source: CMS National Downloadable File, September 2026.