Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1994
NPI: 1043216336
Practice Locations (2)
4400 W 109TH ST, SUITE 150
OVERLAND PARK, KS 662111319
9135413377
1500 N CHURCH RD C, VEIN CLINIC OF GKC LIBERTY OFFICE
LIBERTY, MO 640687161
9135413377
Source: CMS National Downloadable File, September 2026.