Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2012
NPI: 1194076901
Practice Locations (2)
STATE OF KANSAS-ACCOUNTING SERVICES
1200 SUNNYSIDE AVE
LAWRENCE, KS 660457600
7858644690
UNIVERSITY OF KANSAS
1200 SUNNYSIDE AVE
LAWRENCE, KS 660457600
7858644690
Source: CMS National Downloadable File, September 2026.