Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1991
NPI: 1063521789
Practice Locations (1)
BOTHWELL REGIONAL HEALTH CENTER
601 E 14TH ST, BOTHWELL REGIONAL HEALTH CENTER
SEDALIA, MO 653015972
6608268833
Source: CMS National Downloadable File, September 2026.