Graduated: 2011
Also: HOSPITALIST
NPI: 1104170273
Practice Locations (2)
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
8929 PARALLEL PKWY
KANSAS CITY, KS 661121689
9135964000
PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC
1000 CARONDELET DR
KANSAS CITY, MO 641144673
8169434758
Source: CMS National Downloadable File, September 2026.