Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1994
NPI: 1174633531
Practice Locations (1)
CENTERWELL SENIOR PRIMARY CARE KS PA
2402 E 13TH ST N
WICHITA, KS 672142102
3168676444
Source: CMS National Downloadable File, September 2026.