Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2016
NPI: 1063707438
Practice Locations (2)
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
3550 S 4TH ST, 115 PMG MULTISPECIALTY CLINIC
LEAVENWORTH, KS 660485085
9133346800
PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC
1000 CARONDELET DR
KANSAS CITY, MO 641144673
8169434758
Source: CMS National Downloadable File, September 2026.