Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1998
NPI: 1073226874
Practice Locations (2)
1905 19TH ST
GREAT BEND, KS 675302502
1102 S HILLSIDE ST
WICHITA, KS 672114004
Source: CMS National Downloadable File, September 2026.