Graduated: 2024
NPI: 1013725803
Practice Locations (2)
LIVEACTIVE PRIMARY CARE LLC
6650 W 110TH ST, SUITE 220
OVERLAND PARK, KS 662111501
9135493884
MIDTOWN FAMILY MEDICINE PC
3406 BROADWAY BLVD, SUITE B
KANSAS CITY, MO 641112767
8167565839
Source: CMS National Downloadable File, September 2026.