Graduated: 2017
NPI: 1114380839
Practice Locations (2)
INFORME HEALTHCARE IL LLC
502 ROSEPORT RD
ELWOOD, KS 660247801
9133484453
PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC
1000 CARONDELET DR
KANSAS CITY, MO 641144673
8169434758
Source: CMS National Downloadable File, September 2026.