Graduated: 2004
NPI: 1164414348
Practice Locations (2)
KANSAS ANESTHESIA PROVIDERS, LLC
1124 W 21ST ST, 100 ANDOVER AMBULATORY SURGERY CENTER
ANDOVER, KS 670025500
3164403200
OPHTHALMIC ANESTHESIA TEAM PA
6100 E CENTRAL AVE, 5 TEAM VISION SURGERY CENTER
WICHITA, KS 672084237
6205842002
Source: CMS National Downloadable File, September 2026.