Graduated: 2021
NPI: 1114684313
Practice Locations (2)
LIVEACTIVE PRIMARY CARE LLC
6650 W 110TH ST, SUITE 220
OVERLAND PARK, KS 662111501
9135493884
LIVEACTIVE PRIMARY CARE LLC
500 NW 68TH ST, KINDRED HOSPITAL NORTHLAND
KANSAS CITY, MO 641182455
9136670787
Source: CMS National Downloadable File, September 2026.