Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2021
NPI: 1275112765
Practice Locations (2)
3515 BROADWAY BLVD
Kansas City, MO 641112501
3515 BROADWAY BLVD
KANSAS CITY, MO 641112501
Source: CMS National Downloadable File, September 2026.