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Doctors / KY
PEDIATRIC MEDICINE
Graduated: 1990
NPI: 1972697886
500 W JEFFERSON ST
Louisville, KY 402022823
8806 BEAU CHENE DR
SHREVEPORT, LA 711152772
PO BOX, SUITE 22000
SAN ANGELO, TX 76902
Source: CMS National Downloadable File, September 2026.