Graduated: 2017
NPI: 1992217715
Practice Locations (2)
KIOSK MEDICINE KENTUCKY LLC
130 PAVILION PKWY
NEWPORT, KY 410712998
8596527203
THE LITTLE CLINIC OF OHIO LLC
10477 HARRISON AVE
HARRISON, OH 450302247
5132028283
Source: CMS National Downloadable File, September 2026.