Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1986
Offers telehealth
NPI: 1063426369
Practice Locations (1)
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
8919 PARALLEL PKWY, SUITE 440
KANSAS CITY, KS 661121655
9135967286
Source: CMS National Downloadable File, September 2026.