Graduated: 1983
NPI: 1316996994
Practice Locations (4)
1731 N 90TH ST, SELECT SPEC HOSPITAL
KANSAS CITY, KS 661121515
9137325903
8929 PARALLEL PKWY
KANSAS CITY, KS 661121689
9135964860
757 W EISENHOWER RD
LANSING, KS 660432215
9135659022
ABILITY KC
3011 BALTIMORE AVE
KANSAS CITY, MO 641083403
8167517832
Source: CMS National Downloadable File, September 2026.