Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1295259588
Practice Locations (3)
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
8909 PARALLEL PKWY
KANSAS CITY, KS 661121689
9135964200
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
8919 PARALLEL PKWY
KANSAS CITY, KS 661121655
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
8929 PARALLEL PKWY
KANSAS CITY, KS 661121689
9135964000
Source: CMS National Downloadable File, September 2026.