Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1033146949
Practice Locations (4)
11111 NALL AVE, SUITE 103
LEAWOOD, KS 662111625
11111 NALL AVE, SUITE 218
LEAWOOD, KS 662111695
9133228859
THEORIA MEDICAL
12340 QUIVIRA RD
OVERLAND PARK, KS 662132486
9138518660
THEORIA MEDICAL
105 BERNARD DR
BELTON, MO 640126181
8163488815
Source: CMS National Downloadable File, September 2026.