Graduated: 2018
NPI: 1992210165
Practice Locations (2)
BLUEGRASS KIDNEY CONSULTANTS PSC
721 S PRESTON ST
LOUISVILLE, KY 402032319
5025831799
PMR KY HOLDING LLC
8019 DIXIE HWY, SUITE 101
LOUISVILLE, KY 402581303
5023333121
Source: CMS National Downloadable File, September 2026.