Graduated: 2019
NPI: 1982257044
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.