Dr. Jerrel Boyer

Medical Director

Dr. Jerrel Boyer is the Medical Director of Fresh Start Health, where he leads clinical strategy and oversees the quality and safety of all patient care. He is buprenorphine-waiver trained and certified to provide Medication-Assisted Treatment (MAT) for opioid use disorder, with a focus on practical, real-world treatment plans that fit patients’ lives in both clinic and telehealth settings.

Dr. Boyer graduated with honors from the University of New England College of Osteopathic Medicine, where he ranked third in his class and received multiple research and academic awards. He completed neurosurgery training through the PCOMNet Affiliated Hospitals system and has served in leadership roles including Neurosurgery Section Chief and Director of Neurosciences at regional medical centers.

He now applies that depth of training to build patient-centered programs at Fresh Start Health that improve access to addiction treatment, hepatitis C care, and related services in Kentucky and beyond.

Christopher Tullis

Chief Operating Officer

Christopher Tullis earned his degree in Psychology from the University of New Hampshire in 1994. After graduating, he worked as a case manager for two non-profit organizations specializing in social services.

Since 2003, Mr. Tullis has been the President of the medical distributorship, CW Spine Inc. His specialization is in spinal implants, biologics, toxicology, and ancillary revenue solutions for physician practices.

In 2015 he formed Best Practice Protocols, an international business development company that teams with US defense contractors and genomic laboratories to transfer genetic technology to foreign countries.

He is also Buprenorphine Waiver trained and educated on best practices involving Medical Assisted Treatment (MAT) by the American Society of Addiction Medicine. Mr. Tullis is Fresh Start’s COO and oversees all business development and operations.

Kristina ​​Holtzapfel

Operations Director

Kristina Holtzapfel earned her degree in Health Services Administration from Ohio University in Athens, Ohio, in 1998. After graduating, she worked in the Human Resources field for six years. In 2005, she began working for a local healthcare system where she worked in Physician Practice Management for nearly 15 years.

Kristina lives locally in Ironton, Ohio, with her husband and their five children. Kristina is very active with their local Little League organization and enjoys fundraising for nonprofit entities in her spare time. Kristina serves as Fresh Start Health’s Operations Manager, overseeing the day-to-day operations throughout all clinics.