Graduated: 2022
NPI: 1316662935
Practice Locations (3)
8900 STATE LINE RD, SUITE 414
LEAWOOD, KS 662061960
8900 STATE LINE RD, SUITE 414
LEAWOOD, KS 662061994
6000 LAMAR AVE, SUITE 130
MISSION, KS 662023298
Source: CMS National Downloadable File, September 2026.