Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1991
Also: UNDERSEA AND HYPERBARIC MEDICINE
NPI: 1053310938
Practice Locations (3)
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
8929 PARALLEL PKWY
KANSAS CITY, KS 661121689
9135964000
PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC
3501 W 95TH ST, THE FORUM OF OVERLAND PARK
OVERLAND PARK, KS 662062063
9136484530
PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC
930 CARONDELET DR, SUITE 200
KANSAS CITY, MO 641144698
8169435690
Source: CMS National Downloadable File, September 2026.